ANDREA S DIRKSEN - Podiatrist License in Illinois | # 135000603

ANDREA S DIRKSEN

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000603

License Status

EXPIRED

Business

N

First Name

ANDREA

Middle

S

Last Name

DIRKSEN

Business Name

ANDREA S DIRKSEN

Original Issue Date

12/16/2005

Effective Date

12/16/2005

Expiration Date

06/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2007