THERESA M HUGHES DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004869

License Status

INACTIVE

Business

First Name

THERESA

Middle

Last Name

HUGHES

Suffix

DPM

Business Name

THERESA M HUGHES DPM

Original Issue Date

06/15/1998

Effective Date

12/02/2014

Expiration Date

01/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/10/2016