JEFFREY K CHISM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000292

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

CHISM

Business Name

JEFFREY K CHISM

Original Issue Date

06/21/1996

Effective Date

06/21/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006