RITA RAE FONTENOT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

RITA RAE

Last Name

FONTENOT

Business Name

RITA RAE FONTENOT

Original Issue Date

07/26/1985

Effective Date

07/26/1985

Expiration Date

01/31/1987

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006