ARIELLE FONTHEIM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081835

License Status

CANCELLED

Business

Title

First Name

ARIELLE

Last Name

FONTHEIM

Business Name

ARIELLE FONTHEIM DO

Original Issue Date

06/25/2023

Effective Date

06/25/2023

Expiration Date

06/24/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/23/2025