ALISSA A BERNER - Podiatrist License in Illinois | # 016005124

ALISSA A BERNER

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005124

License Status

NOT RENEWED

Business

N

First Name

ALISSA

Middle

A

Last Name

BERNER

Business Name

ALISSA A BERNER

Original Issue Date

05/01/2003

Effective Date

05/01/2003

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006