SHINE JOHN DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005365

License Status

INACTIVE

Business

First Name

SHINE

Last Name

JOHN

Suffix

DPM

Business Name

SHINE JOHN DPM

Original Issue Date

05/07/2008

Effective Date

12/24/2008

Expiration Date

01/31/2011

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2010