CRAIG SUN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005176

License Status

NOT RENEWED

Business

First Name

CRAIG

Last Name

SUN

Suffix

DPM

Business Name

CRAIG SUN DPM

Original Issue Date

04/30/2004

Effective Date

04/30/2004

Expiration Date

01/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006