JAYDIENNE PAULISA C FONTEJON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006055

License Status

ACTIVE

Business

Title

DPM

First Name

JAYDIENNE PAULISA

Middle

Last Name

FONTEJON

Business Name

JAYDIENNE PAULISA C FONTEJON DPM

Original Issue Date

05/01/2024

Effective Date

11/02/2024

Expiration Date

01/31/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/02/2024