THOMAS O EKSTROM - Podiatrist License in Illinois | # 016002640

THOMAS O EKSTROM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002640

License Status

NOT RENEWED

Business

N

First Name

THOMAS O

Last Name

EKSTROM

Business Name

THOMAS O EKSTROM

Original Issue Date

07/08/1971

Effective Date

01/31/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007