MICHAEL A PONTARELLI Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001551

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

PONTARELLI

Business Name

MICHAEL A PONTARELLI

Original Issue Date

01/16/1939

Effective Date

01/16/1939

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006