KEVIN MICHAEL MASSARD DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000426

License Status

EXPIRED

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

MASSARD

Suffix

DPM

Business Name

KEVIN MICHAEL MASSARD DPM

Original Issue Date

06/17/1999

Effective Date

06/17/1999

Expiration Date

06/30/2000

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006