MATTHEW ALBERT KROUSE DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000813

License Status

CANCELLED

Business

Title

DPM

First Name

MATTHEW

Middle

ALBERT

Last Name

KROUSE

Business Name

MATTHEW ALBERT KROUSE DPM

Original Issue Date

06/24/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

ELGIN

State

Zip

60123

Ever Disciplined

LastModifiedDate

06/24/2013