MARISA L HADDAD Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000305

License Status

EXPIRED

Business

First Name

MARISA

Middle

Last Name

HADDAD

Business Name

MARISA L HADDAD

Original Issue Date

07/02/1996

Effective Date

07/02/1996

Expiration Date

06/30/1997

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006