MARK ANDREW BIRMINGHAM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005397

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANDREW

Last Name

BIRMINGHAM

Business Name

MARK ANDREW BIRMINGHAM

Original Issue Date

03/25/2009

Effective Date

12/14/2012

Expiration Date

01/31/2015

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015