CARA LEE FONTANA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001184

License Status

CANCELLED

Business

Title

DPM

First Name

CARA

Middle

LEE

Last Name

FONTANA

Business Name

CARA LEE FONTANA DPM

Original Issue Date

06/14/2023

Effective Date

06/26/2023

Expiration Date

06/25/2026

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/16/2025