DIANA K TABOR DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000841

License Status

EXPIRED

Business

Title

DPM

First Name

DIANA

Middle

Last Name

TABOR

Business Name

DIANA K TABOR DPM

Original Issue Date

06/16/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

06/16/2014