MATTHEW ALLEN POLK DPM - Podiatrist License in Illinois | # 135000646

MATTHEW ALLEN POLK DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000646

License Status

EXPIRED

Business

N

First Name

MATTHEW

Middle

ALLEN

Last Name

POLK

Suffix

DPM

Business Name

MATTHEW ALLEN POLK DPM

Original Issue Date

09/05/2007

Effective Date

09/05/2007

Expiration Date

09/05/2008

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2008