TARA L SAKEVICH DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000508

License Status

EXPIRED

Business

First Name

TARA

Middle

Last Name

SAKEVICH

Suffix

DPM

Business Name

TARA L SAKEVICH DPM

Original Issue Date

06/21/2002

Effective Date

06/21/2002

Expiration Date

06/30/2003

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/25/2006