BRUCE KALLOU Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005642

License Status

NOT RENEWED

Business

First Name

BRUCE

Last Name

KALLOU

Business Name

BRUCE KALLOU

Original Issue Date

03/27/2015

Effective Date

03/27/2015

Expiration Date

01/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017