Dr. MODESTO FONTANEZ
Medical Board - 35.Doctor Of Medicine
Ohio 35.083857 Inactive
This Ohio license was held by Dr. MODESTO FONTANEZ. The license is no longer active. It was granted on 01/30/2004 and expired on 01/01/2011
LICENSE DETAILS
- License Number: 35.083857
- Category: 35.Doctor of Medicine
- Status: Inactive
- Date Granted: 01/30/2004 (over 22 years ago)
- Expiry Date: 01/01/2011 (over 15 years ago)
LOCATIONS
A Practice Address
NY Rehab, Pain Management &Medical Services, 32-44 31st St, Long Island City, NY 11106