ROBERT EDWARD CLEMENCY III, DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000779

License Status

CANCELLED

Business

Title

III, DPM

First Name

ROBERT

Middle

EDWARD

Last Name

CLEMENCY

Business Name

ROBERT EDWARD CLEMENCY III, DPM

Original Issue Date

06/28/2012

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/13/2015