ALEXANDER MARTIN MCKANNA - Podiatrist License in Illinois | # 135000900

ALEXANDER MARTIN MCKANNA

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000900

License Status

EXPIRED

Business

N

First Name

ALEXANDER

Middle

MARTIN

Last Name

MCKANNA

Business Name

ALEXANDER MARTIN MCKANNA

Original Issue Date

08/13/2015

Effective Date

07/01/2016

Expiration Date

07/01/2017

State

IL

Ever Disciplined

N

LastModifiedDate

09/19/2017