ANDREY S MELNIKOV DPM - Podiatrist License in Illinois | # 135000744

ANDREY S MELNIKOV DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000744

License Status

EXPIRED

Business

N

First Name

ANDREY

Middle

S

Last Name

MELNIKOV

Suffix

DPM

Business Name

ANDREY S MELNIKOV DPM

Original Issue Date

06/22/2011

Effective Date

07/01/2012

Expiration Date

06/30/2013

State

IL

Ever Disciplined

N

LastModifiedDate

10/07/2013