EDWARD ANTHONY URAM III DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005816

License Status

NOT RENEWED

Business

Title

DPM

First Name

EDWARD

Middle

ANTHONY

Last Name

URAM

Suffix

III

Business Name

EDWARD ANTHONY URAM III DPM

Original Issue Date

01/31/2019

Effective Date

01/31/2019

Expiration Date

01/31/2021

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/11/2021