GLENN F DE VRIES Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003175

License Status

NOT RENEWED

Business

First Name

GLENN F

Last Name

DE VRIES

Business Name

GLENN F DE VRIES

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

07/01/1982

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006