JENNIFER R DECKER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005364

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

DECKER

Business Name

JENNIFER R DECKER

Original Issue Date

04/28/2008

Effective Date

12/02/2008

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011