JEFFERSON G ISH Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001977

License Status

INACTIVE

Business

First Name

JEFFERSON G

Last Name

ISH

Business Name

JEFFERSON G ISH

Original Issue Date

03/02/1950

Effective Date

03/02/1950

Expiration Date

01/31/1985

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/25/2006