MARK KENNETH MAGNUS DPM - Podiatrist License in Illinois | # 016005815

MARK KENNETH MAGNUS DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005815

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

MARK

Middle

KENNETH

Last Name

MAGNUS

Business Name

MARK KENNETH MAGNUS DPM

Original Issue Date

01/29/2019

Effective Date

01/29/2019

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2021