BRENT DAVID PARRY DPM - Podiatrist License in Illinois | # 135000340

BRENT DAVID PARRY DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000340

License Status

EXPIRED

Business

N

First Name

BRENT

Middle

DAVID

Last Name

PARRY

Suffix

DPM

Business Name

BRENT DAVID PARRY DPM

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006