DONALD ROBERT DOLEZALEK JR DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000443

License Status

EXPIRED

Business

First Name

DONALD

Middle

ROBERT

Last Name

DOLEZALEK

Suffix

JR DPM

Business Name

DONALD ROBERT DOLEZALEK JR DPM

Original Issue Date

05/26/2000

Effective Date

05/26/2000

Expiration Date

06/30/2002

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

09/25/2006