DAWN M SAMPLE DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007580

License Status

INACTIVE

Business

First Name

DAWN M

Last Name

SAMPLE

Suffix

Business Name

DAWN M SAMPLE DC

Original Issue Date

10/19/1994

Effective Date

04/10/2015

Expiration Date

07/31/2017

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

04/11/2017