CARL J BELOCK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005153

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

BELOCK

Suffix

DPM

Business Name

CARL J BELOCK DPM

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

01/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006