JENNIFER R DECKER - Podiatrist License in Illinois | # 135000605

JENNIFER R DECKER

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000605

License Status

EXPIRED

Business

N

First Name

JENNIFER

Middle

R

Last Name

DECKER

Business Name

JENNIFER R DECKER

Original Issue Date

06/13/2006

Effective Date

06/22/2007

Expiration Date

06/30/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/31/2008