KORNVIVAT YINGSERY Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003843

License Status

NOT RENEWED

Business

First Name

KORNVIVAT

Last Name

YINGSERY

Business Name

KORNVIVAT YINGSERY

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

01/31/1989

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2018