DAN A METHUSELAH Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000267

License Status

EXPIRED

Business

First Name

DAN

Middle

Last Name

METHUSELAH

Business Name

DAN A METHUSELAH

Original Issue Date

07/14/1995

Effective Date

07/14/1995

Expiration Date

07/14/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006