DONALD R ANSERT PM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000236

License Status

EXPIRED

Business

First Name

DONALD

Middle

Last Name

ANSERT

Suffix

JR DPM

Business Name

DONALD R ANSERT PM

Original Issue Date

06/03/1995

Effective Date

06/03/1995

Expiration Date

06/30/1997

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006