SAMANTHA ANN RUSNAK DPM - Podiatrist License in Illinois | # 135000786

SAMANTHA ANN RUSNAK DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000786

License Status

EXPIRED

Business

N

Title

DPM

First Name

SAMANTHA

Middle

ANN

Last Name

RUSNAK

Business Name

SAMANTHA ANN RUSNAK DPM

Original Issue Date

07/06/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

State

IL

Ever Disciplined

N

LastModifiedDate

10/07/2013