JAN JESSE DIIPLA - Podiatrist License in Illinois | # 016002744

JAN JESSE DIIPLA

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002744

License Status

NOT RENEWED

Business

N

First Name

JAN JESSE

Last Name

DIIPLA

Business Name

JAN JESSE DIIPLA

Original Issue Date

07/16/1973

Effective Date

12/16/2014

Expiration Date

01/31/2017

State

IL

Ever Disciplined

Y

LastModifiedDate

03/27/2017

Case Number

1995003951

Action

Reprimand

Discipline Start Date

02/22/1996