WILLIAM L FONTENOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

FONTENOT

Suffix

Business Name

WILLIAM L FONTENOT MD

Original Issue Date

05/14/1999

Effective Date

05/14/1999

Expiration Date

07/31/2002

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006