MARK DAVID SURAN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003659

License Status

INACTIVE

Business

First Name

MARK DAVID

Last Name

SURAN

Business Name

MARK DAVID SURAN

Original Issue Date

06/22/1984

Effective Date

11/14/2012

Expiration Date

01/31/2015

City

TAMARAC

State

Zip

33321

County

COOK

Ever Disciplined

LastModifiedDate

11/07/2014