RICHARD G MACDONALD DPM - Podiatrist License in Illinois | # 016002387

RICHARD G MACDONALD DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002387

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

G

Last Name

MACDONALD

Suffix

DPM

Business Name

RICHARD G MACDONALD DPM

Original Issue Date

08/16/1960

Effective Date

12/11/2008

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011