DAVID JON PATENAUDE - Podiatrist License in Illinois | # 016004691

DAVID JON PATENAUDE

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004691

License Status

NOT RENEWED

Business

N

First Name

DAVID JON

Last Name

PATENAUDE

Business Name

DAVID JON PATENAUDE

Original Issue Date

12/01/1993

Effective Date

12/01/1993

Expiration Date

01/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006