DAVID JACQUES SOOMEKH DPM - Podiatrist License in Illinois | # 016005167

DAVID JACQUES SOOMEKH DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005167

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

JACQUES

Last Name

SOOMEKH

Suffix

DPM

Business Name

DAVID JACQUES SOOMEKH DPM

Original Issue Date

01/14/2004

Effective Date

01/14/2004

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006