MARY D DEGROOT DPM - Podiatrist License in Illinois | # 135000498

MARY D DEGROOT DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000498

License Status

EXPIRED

Business

N

First Name

MARY

Middle

D

Last Name

DEGROOT

Suffix

DPM

Business Name

MARY D DEGROOT DPM

Original Issue Date

06/03/2002

Effective Date

06/03/2002

Expiration Date

06/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006