DANIEL CHRISTOPHER SUROWIEC DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000485

License Status

EXPIRED

Business

First Name

DANIEL

Middle

CHRISTOPHER

Last Name

SUROWIEC

Suffix

DPM

Business Name

DANIEL CHRISTOPHER SUROWIEC DPM

Original Issue Date

06/21/2001

Effective Date

06/21/2001

Expiration Date

06/30/2002

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/25/2006