ANTHONY ELLIOTT Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000829

License Status

EXPIRED

Business

First Name

ANTHONY

Last Name

ELLIOTT

Business Name

ANTHONY ELLIOTT

Original Issue Date

08/23/2013

Effective Date

06/03/2014

Expiration Date

06/30/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/09/2017