RENATO MENDOZA FONTANILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

RENATO MENDOZA

Last Name

FONTANILLA

Suffix

Business Name

RENATO MENDOZA FONTANILLA MD

Original Issue Date

08/25/2005

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2025