DANA MARA BERNS Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000869

License Status

CANCELLED

Business

First Name

DANA

Middle

MARA

Last Name

BERNS

Business Name

DANA MARA BERNS

Original Issue Date

06/09/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

TINLEY PARK

State

Zip

60477

Ever Disciplined

LastModifiedDate

06/09/2015