ANTONIO IPPOLITO MONTEMURRO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

IPPOLITO

Last Name

MONTEMURRO

Business Name

ANTONIO IPPOLITO MONTEMURRO

Original Issue Date

09/12/2012

Effective Date

11/26/2012

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015