SAMANTHA DOLPH WINERMAN DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000819

License Status

CANCELLED

Business

Title

DPM

First Name

SAMANTHA

Middle

DOLPH

Last Name

WINERMAN

Business Name

SAMANTHA DOLPH WINERMAN DPM

Original Issue Date

06/27/2013

Effective Date

06/03/2014

Expiration Date

06/30/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

06/03/2014