ROBERT J FONTANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

FONTANA

Suffix

Business Name

ROBERT J FONTANA MD

Original Issue Date

08/16/1990

Effective Date

08/16/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006