MELVIN M PETTERSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001904

License Status

NOT RENEWED

Business

First Name

MELVIN M

Last Name

PETTERSEN

Business Name

MELVIN M PETTERSEN

Original Issue Date

08/04/1948

Effective Date

08/04/1948

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006