DAVID JACQUES SOOMEKH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005167

License Status

NOT RENEWED

Business

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

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006