ANUSAK SERIRUK Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004765

License Status

ACTIVE

Business

First Name

ANUSAK

Last Name

SERIRUK

Business Name

ANUSAK SERIRUK

Original Issue Date

04/23/1996

Effective Date

12/17/2024

Expiration Date

01/31/2027

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025