MARK A MAEDERER JR DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000403

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

MAEDERER

Suffix

JR DPM

Business Name

MARK A MAEDERER JR DPM

Original Issue Date

10/22/1998

Effective Date

10/22/1998

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006