MARK KENNETH MAGNUS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005815

License Status

NOT RENEWED

Business

Title

DPM

First Name

MARK

Middle

KENNETH

Last Name

MAGNUS

Business Name

MARK KENNETH MAGNUS DPM

Original Issue Date

01/29/2019

Effective Date

01/29/2019

Expiration Date

01/31/2021

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

03/11/2021