DANFORTH S DESENA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003353

License Status

NOT RENEWED

Business

First Name

DANFORTH S

Last Name

DESENA

Business Name

DANFORTH S DESENA

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006