THOMAS O EKSTROM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002640

License Status

NOT RENEWED

Business

First Name

THOMAS O

Last Name

EKSTROM

Business Name

THOMAS O EKSTROM

Original Issue Date

07/08/1971

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

SUMMIT

State

Zip

60501

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007