CARL J BELOCK DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000509

License Status

EXPIRED

Business

First Name

CARL

Middle

Last Name

BELOCK

Suffix

DPM

Business Name

CARL J BELOCK DPM

Original Issue Date

06/21/2002

Effective Date

06/21/2002

Expiration Date

06/30/2004

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006