MATTHEW ALLEN POLK DPM - Podiatrist License in Illinois | # 016005375

MATTHEW ALLEN POLK DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005375

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

ALLEN

Last Name

POLK

Suffix

DPM

Business Name

MATTHEW ALLEN POLK DPM

Original Issue Date

06/25/2008

Effective Date

12/05/2008

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011