DAVID ROBERT MIKLOS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000715

License Status

EXPIRED

Business

Title

DPM

First Name

DAVID

Middle

ROBERT

Last Name

MIKLOS

Business Name

DAVID ROBERT MIKLOS DPM

Original Issue Date

07/06/2010

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2012