MODESTO J ARDISANA DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038002783

License Status

NOT RENEWED

Business

First Name

MODESTO J

Last Name

ARDISANA

Suffix

Business Name

MODESTO J ARDISANA DC

Original Issue Date

11/25/1959

Effective Date

11/25/1959

Expiration Date

07/31/1987

City

HOMEWOOD

State

Zip

60456

County

COOK

Ever Disciplined

LastModifiedDate

09/21/2006