MARK A MAEDERER JR DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005000

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MAEDERER

Suffix

JR DPM

Business Name

MARK A MAEDERER JR DPM

Original Issue Date

10/27/2000

Effective Date

10/27/2000

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006