JEFFREY ROBERT MORIN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004931

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ROBERT

Last Name

MORIN

Suffix

DPM

Business Name

JEFFREY ROBERT MORIN DPM

Original Issue Date

08/06/1999

Effective Date

08/06/1999

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006