LISA A DEBERNARDI Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004789

License Status

INACTIVE

Business

First Name

LISA A

Last Name

DEBERNARDI

Business Name

LISA A DEBERNARDI

Original Issue Date

08/07/1996

Effective Date

02/02/2015

Expiration Date

01/31/2017

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

11/10/2016