JACK L HORMELL Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001142

License Status

NOT RENEWED

Business

First Name

JACK L

Last Name

HORMELL

Business Name

JACK L HORMELL

Original Issue Date

07/16/1932

Effective Date

07/16/1932

Expiration Date

07/01/1982

City

JERSEYVILLE

State

Zip

62502

County

JERSEY

Ever Disciplined

LastModifiedDate

09/25/2006