CHARLES S DEZANEK Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002109

License Status

INACTIVE

Business

First Name

CHARLES S

Last Name

DEZANEK

Business Name

CHARLES S DEZANEK

Original Issue Date

07/17/1952

Effective Date

07/17/1952

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006