EDWARD R NIEUWENHUIS - Podiatrist License in Illinois | # 016004422

EDWARD R NIEUWENHUIS

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004422

License Status

INACTIVE

Business

N

First Name

EDWARD R

Last Name

NIEUWENHUIS

Business Name

EDWARD R NIEUWENHUIS

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006