SAMANTHA JILL RATNER DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000528

License Status

EXPIRED

Business

First Name

SAMANTHA

Middle

JILL

Last Name

RATNER

Suffix

DPM

Business Name

SAMANTHA JILL RATNER DPM

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006