ERIC B BETTAG DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000239

License Status

EXPIRED

Business

First Name

ERIC

Middle

Last Name

BETTAG

Suffix

DPM

Business Name

ERIC B BETTAG DPM

Original Issue Date

06/06/1995

Effective Date

06/06/1995

Expiration Date

06/30/1997

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

09/25/2006