CHARLES MIN TACK HAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005503

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

MIN TACK

Last Name

HAN

Suffix

DPM

Business Name

CHARLES MIN TACK HAN DPM

Original Issue Date

08/24/2011

Effective Date

01/02/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017