KIM D FJELSTAD Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003731

License Status

NOT RENEWED

Business

First Name

KIM D

Last Name

FJELSTAD

Business Name

KIM D FJELSTAD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

01/31/1987

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006