JOHNNY DAN PARKER JR DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003150

License Status

ACTIVE

Business

First Name

JOHNNY

Middle

DAN

Last Name

PARKER

Suffix

JR DPM

Business Name

JOHNNY DAN PARKER JR DPM

Original Issue Date

06/23/1980

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2024