NATHANIEL DONALD WITMER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000843

License Status

NOT RENEWED

Business

Title

DPM

First Name

NATHANIEL

Middle

DONALD

Last Name

WITMER

Business Name

NATHANIEL DONALD WITMER DPM

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/24/2015

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2016