JEREMY D M COWAN DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000347

License Status

EXPIRED

Business

First Name

JEREMY

Middle

D M

Last Name

COWAN

Suffix

DPM

Business Name

JEREMY D M COWAN DPM

Original Issue Date

07/03/1997

Effective Date

07/03/1997

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006