MARK A MAEDERER JR DPM - Podiatrist License in Illinois | # 016005000

MARK A MAEDERER JR DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005000

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

A

Last Name

MAEDERER

Suffix

JR DPM

Business Name

MARK A MAEDERER JR DPM

Original Issue Date

10/27/2000

Effective Date

10/27/2000

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006