BRYN JOHNSON LAUBACHER DPM - Podiatrist License in Illinois | # 135000918

BRYN JOHNSON LAUBACHER DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000918

License Status

EXPIRED

Business

N

Title

DPM

First Name

BRYN

Middle

JOHNSON

Last Name

LAUBACHER

Business Name

BRYN JOHNSON LAUBACHER DPM

Original Issue Date

06/08/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

10/02/2019