JENNIFER R DECKER Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000605

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

Last Name

DECKER

Business Name

JENNIFER R DECKER

Original Issue Date

06/13/2006

Effective Date

06/22/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2008