KATHY J MIZE - Podiatrist License in Illinois | # 135000533

KATHY J MIZE

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000533

License Status

EXPIRED

Business

N

First Name

KATHY

Middle

J

Last Name

MIZE

Business Name

KATHY J MIZE

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006