ANTON JOHN SELLA DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000712

License Status

EXPIRED

Business

Title

DPM

First Name

ANTON

Middle

JOHN

Last Name

SELLA

Business Name

ANTON JOHN SELLA DPM

Original Issue Date

06/30/2010

Effective Date

07/05/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2012