MAGDALA D LAFONTANT DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000652

License Status

CANCELLED

Business

Title

DPM

First Name

MAGDALA

Middle

Last Name

LAFONTANT

Business Name

MAGDALA D LAFONTANT DPM

Original Issue Date

06/27/2008

Effective Date

06/27/2008

Expiration Date

06/27/2009

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

05/21/2008