JASON JERISHA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005213

License Status

NOT RENEWED

Business

First Name

JASON

Last Name

JERISHA

Suffix

DPM

Business Name

JASON JERISHA DPM

Original Issue Date

09/08/2004

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

03/16/2007