JONATHAN J GISCLAIR Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000441

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

Last Name

GISCLAIR

Business Name

JONATHAN J GISCLAIR

Original Issue Date

05/26/2000

Effective Date

05/26/2000

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006