PHILIP JOSEPH GIANFORTUNE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

PHILIP JOSEPH

Last Name

GIANFORTUNE

Business Name

PHILIP JOSEPH GIANFORTUNE

Original Issue Date

08/17/1982

Effective Date

11/16/2018

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021