SOPHRONIA H BULLOCK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001784

License Status

NOT RENEWED

Business

First Name

SOPHRONIA H

Last Name

BULLOCK

Business Name

SOPHRONIA H BULLOCK

Original Issue Date

07/28/1942

Effective Date

07/28/1942

Expiration Date

07/01/1982

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006