SAMANTHA ANN RUSNAK DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000786

License Status

EXPIRED

Business

Title

DPM

First Name

SAMANTHA

Middle

ANN

Last Name

RUSNAK

Business Name

SAMANTHA ANN RUSNAK DPM

Original Issue Date

07/06/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/07/2013