PHIL BERNARD FONTANAROSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088381

License Status

ACTIVE

Business

First Name

PHIL BERNARD

Last Name

FONTANAROSA

Suffix

Business Name

PHIL BERNARD FONTANAROSA MD

Original Issue Date

05/04/1994

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/13/2023