MATTHEW ALLEN POLK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005375

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ALLEN

Last Name

POLK

Suffix

DPM

Business Name

MATTHEW ALLEN POLK DPM

Original Issue Date

06/25/2008

Effective Date

12/05/2008

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011