TANNER MICHAEL DODSON - Podiatrist License in Illinois | # 135001028

TANNER MICHAEL DODSON

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001028

License Status

EXPIRED

Business

N

First Name

TANNER

Middle

MICHAEL

Last Name

DODSON

Business Name

TANNER MICHAEL DODSON

Original Issue Date

11/13/2018

Effective Date

11/13/2018

Expiration Date

11/13/2021

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022