DELPHINE SOLANGE FONTCHA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057054

License Status

CANCELLED

Business

Title

First Name

DELPHINE

Middle

SOLANGE

Last Name

FONTCHA

Business Name

DELPHINE SOLANGE FONTCHA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/16/2009