EMANUEL WILLIS DPM - Podiatrist License in Illinois | # 016004021

EMANUEL WILLIS DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004021

License Status

NOT RENEWED

Business

N

First Name

EMANUEL

Last Name

WILLIS

Suffix

DPM

Business Name

EMANUEL WILLIS DPM

Original Issue Date

07/29/1986

Effective Date

07/29/1986

Expiration Date

01/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006