BROOKE ASHLEY GIFFORD Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000638

License Status

EXPIRED

Business

First Name

BROOKE

Middle

ASHLEY

Last Name

GIFFORD

Business Name

BROOKE ASHLEY GIFFORD

Original Issue Date

07/05/2007

Effective Date

07/05/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2008