JOEL R ANDERSON DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000291

License Status

EXPIRED

Business

First Name

JOEL

Middle

Last Name

ANDERSON

Suffix

DPM

Business Name

JOEL R ANDERSON DPM

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006