JOEL R ANDERSON DPM - Podiatrist License in Illinois | # 135000291

JOEL R ANDERSON DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000291

License Status

EXPIRED

Business

N

First Name

JOEL

Middle

R

Last Name

ANDERSON

Suffix

DPM

Business Name

JOEL R ANDERSON DPM

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

06/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006