MARC S EUSTAQUIO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005382

License Status

NOT RENEWED

Business

First Name

MARC

Middle

Last Name

EUSTAQUIO

Suffix

DPM

Business Name

MARC S EUSTAQUIO DPM

Original Issue Date

07/23/2008

Effective Date

01/13/2009

Expiration Date

01/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011