JEFFREY K CHISM - Podiatrist License in Illinois | # 135000292

JEFFREY K CHISM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000292

License Status

EXPIRED

Business

N

First Name

JEFFREY

Middle

K

Last Name

CHISM

Business Name

JEFFREY K CHISM

Original Issue Date

06/21/1996

Effective Date

06/21/1996

Expiration Date

06/30/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006