ANTONIO IPPOLITO MONTEMURRO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005538

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

IPPOLITO

Last Name

MONTEMURRO

Business Name

ANTONIO IPPOLITO MONTEMURRO

Original Issue Date

07/19/2012

Effective Date

11/26/2012

Expiration Date

01/31/2015

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/09/2015