O D PRUITT Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002182

License Status

INACTIVE

Business

First Name

O D

Last Name

PRUITT

Business Name

O D PRUITT

Original Issue Date

07/03/1953

Effective Date

07/03/1953

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006