BRUCE KALLOU - Podiatrist License in Illinois | # 135000816

BRUCE KALLOU

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000816

License Status

NOT RENEWED

Business

N

First Name

BRUCE

Last Name

KALLOU

Business Name

BRUCE KALLOU

Original Issue Date

06/25/2013

Effective Date

06/03/2014

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Laparoscopic Bariatric Surgery

Ever Disciplined

N

LastModifiedDate

01/07/2016