KIRK W NEUSTROM DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004017

License Status

INACTIVE

Business

First Name

KIRK W

Last Name

NEUSTROM

Suffix

DPM

Business Name

KIRK W NEUSTROM DPM

Original Issue Date

07/15/1986

Effective Date

07/15/1986

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006