SELWYN E WILLIS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004023

License Status

NOT RENEWED

Business

First Name

SELWYN E

Last Name

WILLIS

Suffix

DPM

Business Name

SELWYN E WILLIS DPM

Original Issue Date

07/29/1986

Effective Date

07/29/1986

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006