KATHY J MIZE Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000533

License Status

EXPIRED

Business

First Name

KATHY

Middle

Last Name

MIZE

Business Name

KATHY J MIZE

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/30/2005

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006