SHELLEY M WAYNE BRUTON Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000440

License Status

EXPIRED

Business

First Name

SHELLEY

Middle

Last Name

WAYNE BRUTON

Business Name

SHELLEY M WAYNE BRUTON

Original Issue Date

05/26/2000

Effective Date

05/26/2000

Expiration Date

06/30/2001

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/25/2006