SCOTT L VANDEVORDE - Podiatrist License in Illinois | # 016004377

SCOTT L VANDEVORDE

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004377

License Status

NOT RENEWED

Business

N

First Name

SCOTT L

Last Name

VANDEVORDE

Business Name

SCOTT L VANDEVORDE

Original Issue Date

09/02/1989

Effective Date

09/02/1989

Expiration Date

01/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006