ALISSA A BERNER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005124

License Status

NOT RENEWED

Business

First Name

ALISSA

Middle

Last Name

BERNER

Business Name

ALISSA A BERNER

Original Issue Date

05/01/2003

Effective Date

05/01/2003

Expiration Date

01/31/2005

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006