SHELLEY M WAYNE BRUTON - Podiatrist License in Illinois | # 016005027

SHELLEY M WAYNE BRUTON

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005027

License Status

NOT RENEWED

Business

N

First Name

SHELLEY

Middle

M

Last Name

WAYNE BRUTON

Business Name

SHELLEY M WAYNE BRUTON

Original Issue Date

07/09/2001

Effective Date

07/09/2001

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006