GUY A LAVINE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004307

License Status

NOT RENEWED

Business

First Name

GUY

Middle

Last Name

LAVINE

Suffix

DPM

Business Name

GUY A LAVINE DPM

Original Issue Date

02/17/1989

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

SOUTH CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009