RONALD A SAGE DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002933

License Status

INACTIVE

Business

First Name

RONALD

Middle

Last Name

SAGE

Suffix

DPM

Business Name

RONALD A SAGE DPM

Original Issue Date

08/03/1977

Effective Date

12/17/2018

Expiration Date

01/31/2021

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2020