EDWARD T BERNBOM - Podiatrist License in Illinois | # 016003088

EDWARD T BERNBOM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003088

License Status

NOT RENEWED

Business

N

First Name

EDWARD T

Last Name

BERNBOM

Business Name

EDWARD T BERNBOM

Original Issue Date

06/27/1979

Effective Date

06/27/1979

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006