AMANDA LAINE BRAZIS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000747

License Status

EXPIRED

Business

First Name

AMANDA

Middle

LAINE

Last Name

BRAZIS

Suffix

DPM

Business Name

AMANDA LAINE BRAZIS DPM

Original Issue Date

06/22/2011

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2011