TIMOTHY CRAIG WIRT - Podiatrist License in Illinois | # 135000928

TIMOTHY CRAIG WIRT

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000928

License Status

CANCELLED

Business

N

First Name

TIMOTHY

Middle

CRAIG

Last Name

WIRT

Business Name

TIMOTHY CRAIG WIRT

Original Issue Date

06/22/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

06/09/2016