RITA RAE FONTENOT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003865

License Status

NOT RENEWED

Business

First Name

RITA RAE

Last Name

FONTENOT

Business Name

RITA RAE FONTENOT

Original Issue Date

06/25/1985

Effective Date

06/25/1985

Expiration Date

01/31/1987

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006