SHINE JOHN DPM - Podiatrist License in Illinois | # 016005365

SHINE JOHN DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005365

License Status

INACTIVE

Business

N

First Name

SHINE

Last Name

JOHN

Suffix

DPM

Business Name

SHINE JOHN DPM

Original Issue Date

05/07/2008

Effective Date

12/24/2008

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2010