JOHN STEPHEN ANDERSON DPM - Podiatrist License in Illinois | # 016005051

JOHN STEPHEN ANDERSON DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005051

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

STEPHEN

Last Name

ANDERSON

Suffix

DPM

Business Name

JOHN STEPHEN ANDERSON DPM

Original Issue Date

10/10/2001

Effective Date

10/10/2001

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006