MATTHEW ALLEN POLK DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000646

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

ALLEN

Last Name

POLK

Suffix

DPM

Business Name

MATTHEW ALLEN POLK DPM

Original Issue Date

09/05/2007

Effective Date

09/05/2007

Expiration Date

09/05/2008

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2008