JOHN MICHAEL BACA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005631

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MICHAEL

Last Name

BACA

Business Name

JOHN MICHAEL BACA

Original Issue Date

10/06/2014

Effective Date

01/08/2015

Expiration Date

01/31/2017

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017