JOHN FONTAINE EGGER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057162

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

FONTAINE

Last Name

EGGER

Business Name

JOHN FONTAINE EGGER MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/04/2012