CRAIG ANDREW SHOUSE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005596

License Status

NOT RENEWED

Business

Title

DPM

First Name

CRAIG

Middle

ANDREW

Last Name

SHOUSE

Business Name

CRAIG ANDREW SHOUSE DPM

Original Issue Date

12/24/2013

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019