RACHEL ELLEN EGDORF DPM - Podiatrist License in Illinois | # 135001036

RACHEL ELLEN EGDORF DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001036

License Status

EXPIRED

Business

N

Title

DPM

First Name

RACHEL

Middle

ELLEN

Last Name

EGDORF

Business Name

RACHEL ELLEN EGDORF DPM

Original Issue Date

06/06/2019

Effective Date

06/25/2019

Expiration Date

06/25/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023