NATASHA MANDULA DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000734

License Status

EXPIRED

Business

First Name

NATASHA

Last Name

MANDULA

Suffix

DPM

Business Name

NATASHA MANDULA DPM

Original Issue Date

06/15/2011

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/07/2013