BRUCE KALLOU Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000816

License Status

NOT RENEWED

Business

First Name

BRUCE

Last Name

KALLOU

Business Name

BRUCE KALLOU

Original Issue Date

06/25/2013

Effective Date

06/03/2014

Expiration Date

06/30/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Laparoscopic Bariatric Surgery

Ever Disciplined

LastModifiedDate

01/07/2016