CRAIG ANDREW SHOUSE DPM - Podiatrist License in Illinois | # 016005596

CRAIG ANDREW SHOUSE DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005596

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

CRAIG

Middle

ANDREW

Last Name

SHOUSE

Business Name

CRAIG ANDREW SHOUSE DPM

Original Issue Date

12/24/2013

Effective Date

01/19/2017

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019