CRAIG ANDREW SHOUSE DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000791

License Status

EXPIRED

Business

Title

DPM

First Name

CRAIG

Middle

ANDREW

Last Name

SHOUSE

Business Name

CRAIG ANDREW SHOUSE DPM

Original Issue Date

07/24/2012

Effective Date

07/24/2012

Expiration Date

07/24/2013

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/07/2013