ROBERT J FONTANA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022101

License Status

EXPIRED

Business

First Name

ROBERT J

Last Name

FONTANA

Suffix

Business Name

ROBERT J FONTANA MD

Original Issue Date

05/09/1988

Effective Date

05/09/1988

Expiration Date

06/21/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006