JASON JERISHA DPM - Podiatrist License in Illinois | # 016005213

JASON JERISHA DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005213

License Status

NOT RENEWED

Business

N

First Name

JASON

Last Name

JERISHA

Suffix

DPM

Business Name

JASON JERISHA DPM

Original Issue Date

09/08/2004

Effective Date

01/31/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007