MARK ANDREW BIRMINGHAM - Podiatrist License in Illinois | # 016005397

MARK ANDREW BIRMINGHAM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005397

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

ANDREW

Last Name

BIRMINGHAM

Business Name

MARK ANDREW BIRMINGHAM

Original Issue Date

03/25/2009

Effective Date

12/14/2012

Expiration Date

01/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

03/09/2015