SMITHA MANTHA DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000754

License Status

EXPIRED

Business

First Name

SMITHA

Last Name

MANTHA

Suffix

DPM

Business Name

SMITHA MANTHA DPM

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2012