FREDERICK JOSEPH DIEL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005331

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

JOSEPH

Last Name

DIEL

Suffix

DPM

Business Name

FREDERICK JOSEPH DIEL DPM

Original Issue Date

06/26/2007

Effective Date

12/18/2018

Expiration Date

01/31/2021

City

CRETE

State

Zip

60417

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021