MARY D DEGROOT DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000498

License Status

EXPIRED

Business

First Name

MARY

Middle

Last Name

DEGROOT

Suffix

DPM

Business Name

MARY D DEGROOT DPM

Original Issue Date

06/03/2002

Effective Date

06/03/2002

Expiration Date

06/30/2003

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

09/25/2006