RICHARD H MANDAL DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000277

License Status

EXPIRED

Business

First Name

RICHARD H

Last Name

MANDAL

Suffix

DPM

Business Name

RICHARD H MANDAL DPM

Original Issue Date

09/28/1995

Effective Date

09/28/1995

Expiration Date

09/27/1997

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006