PAMELA ANN EERNISSE DPM - Podiatrist License in Illinois | # 135000389

PAMELA ANN EERNISSE DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000389

License Status

EXPIRED

Business

N

First Name

PAMELA

Middle

ANN

Last Name

EERNISSE

Suffix

DPM

Business Name

PAMELA ANN EERNISSE DPM

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

06/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

01/21/2011