WAYNE L SERVEN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002556

License Status

INACTIVE

Business

First Name

WAYNE L

Last Name

SERVEN

Business Name

WAYNE L SERVEN

Original Issue Date

07/25/1968

Effective Date

07/25/1968

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006