RYAN ALEXANDER HAAKSMA - Podiatrist License in Illinois | # 135001047

RYAN ALEXANDER HAAKSMA

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001047

License Status

EXPIRED

Business

N

First Name

RYAN

Middle

ALEXANDER

Last Name

HAAKSMA

Business Name

RYAN ALEXANDER HAAKSMA

Original Issue Date

06/10/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023