MARC S EUSTAQUIO DPM - Podiatrist License in Illinois | # 016005382

MARC S EUSTAQUIO DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005382

License Status

NOT RENEWED

Business

N

First Name

MARC

Middle

S

Last Name

EUSTAQUIO

Suffix

DPM

Business Name

MARC S EUSTAQUIO DPM

Original Issue Date

07/23/2008

Effective Date

01/13/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011