ANDREA L PEACH DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000582

License Status

EXPIRED

Business

Title

DPM

First Name

ANDREA

Middle

Last Name

PEACH

Business Name

ANDREA L PEACH DPM

Original Issue Date

06/16/2005

Effective Date

06/16/2005

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/17/2013