JOEL BERNARD FONTANAROSA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062600

License Status

EXPIRED

Business

First Name

JOEL

Middle

BERNARD

Last Name

FONTANAROSA

Suffix

Business Name

JOEL BERNARD FONTANAROSA MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/25/2018