ALEKSANDR SAMUEL KOMAROV DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000686

License Status

EXPIRED

Business

Title

DPM

First Name

ALEKSANDR

Middle

SAMUEL

Last Name

KOMAROV

Business Name

ALEKSANDR SAMUEL KOMAROV DPM

Original Issue Date

06/22/2009

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2011