ERIC STEPHAN TRATHEN - Podiatrist License in Illinois | # 135000641

ERIC STEPHAN TRATHEN

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000641

License Status

EXPIRED

Business

N

First Name

ERIC

Middle

STEPHAN

Last Name

TRATHEN

Business Name

ERIC STEPHAN TRATHEN

Original Issue Date

07/18/2007

Effective Date

07/18/2007

Expiration Date

06/30/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/31/2008