GREGG M DE LOS SANTOS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000513

License Status

EXPIRED

Business

First Name

GREGG

Middle

Last Name

DE LOS SANTOS

Suffix

DPM

Business Name

GREGG M DE LOS SANTOS DPM

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

06/30/2003

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2008