ALEKSANDR SAMUEL KOMAROV DPM - Podiatrist License in Illinois | # 135000686

ALEKSANDR SAMUEL KOMAROV DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000686

License Status

EXPIRED

Business

N

Title

DPM

First Name

ALEKSANDR

Middle

SAMUEL

Last Name

KOMAROV

Business Name

ALEKSANDR SAMUEL KOMAROV DPM

Original Issue Date

06/22/2009

Effective Date

07/01/2010

Expiration Date

06/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2011