ALVA JACK HARLER DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002329

License Status

INACTIVE

Business

First Name

ALVA

Middle

JACK

Last Name

HARLER

Suffix

DPM

Business Name

ALVA JACK HARLER DPM

Original Issue Date

07/22/1958

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/14/2008