KATHRYN CLARK DECKER DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000746

License Status

EXPIRED

Business

Title

DPM

First Name

KATHRYN

Middle

CLARK

Last Name

DECKER

Business Name

KATHRYN CLARK DECKER DPM

Original Issue Date

06/22/2011

Effective Date

06/30/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2012