EDWARD T BERNBOM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003088

License Status

NOT RENEWED

Business

First Name

EDWARD T

Last Name

BERNBOM

Business Name

EDWARD T BERNBOM

Original Issue Date

06/27/1979

Effective Date

06/27/1979

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006