AMANDA LAINE BRAZIS DPM - Podiatrist License in Illinois | # 135000747

AMANDA LAINE BRAZIS DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000747

License Status

EXPIRED

Business

N

First Name

AMANDA

Middle

LAINE

Last Name

BRAZIS

Suffix

DPM

Business Name

AMANDA LAINE BRAZIS DPM

Original Issue Date

06/22/2011

Effective Date

07/01/2012

Expiration Date

06/30/2013

State

IL

Ever Disciplined

N

LastModifiedDate

06/22/2011