SCOTT L VANDEVORDE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004377

License Status

NOT RENEWED

Business

First Name

SCOTT L

Last Name

VANDEVORDE

Business Name

SCOTT L VANDEVORDE

Original Issue Date

09/02/1989

Effective Date

09/02/1989

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006