CHARLES S DEZANEK - Podiatrist License in Illinois | # 016002109

CHARLES S DEZANEK

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002109

License Status

INACTIVE

Business

N

First Name

CHARLES S

Last Name

DEZANEK

Business Name

CHARLES S DEZANEK

Original Issue Date

07/17/1952

Effective Date

07/17/1952

Expiration Date

01/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006