MAGALI J FONTAINE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090970

License Status

NOT RENEWED

Business

First Name

MAGALI

Middle

Last Name

FONTAINE

Business Name

MAGALI J FONTAINE

Original Issue Date

06/22/1995

Effective Date

06/22/1995

Expiration Date

07/31/1999

City

ROCHESTER

State

Zip

55902

Ever Disciplined

LastModifiedDate

02/25/2010