CARLY LUCILLE KRIEDBERG DPM - Podiatrist License in Illinois | # 016005697

CARLY LUCILLE KRIEDBERG DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005697

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

CARLY

Middle

LUCILLE

Last Name

KRIEDBERG

Business Name

CARLY LUCILLE KRIEDBERG DPM

Original Issue Date

03/07/2016

Effective Date

01/05/2017

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019