JOHN STEPHEN ANDERSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005051

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

STEPHEN

Last Name

ANDERSON

Suffix

DPM

Business Name

JOHN STEPHEN ANDERSON DPM

Original Issue Date

10/10/2001

Effective Date

10/10/2001

Expiration Date

01/31/2003

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006