EUGENE E DEZANEK DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002287

License Status

INACTIVE

Business

First Name

EUGENE

Middle

Last Name

DEZANEK

Suffix

DPM

Business Name

EUGENE E DEZANEK DPM

Original Issue Date

07/18/1956

Effective Date

11/14/2008

Expiration Date

01/31/2011

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2010