RENATO MENDOZA FONTANILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

RENATO MENDOZA

Last Name

FONTANILLA

Suffix

Business Name

RENATO MENDOZA FONTANILLA MD

Original Issue Date

11/13/1997

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020