ALEXANDER MARTIN MCKANNA Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000900

License Status

EXPIRED

Business

First Name

ALEXANDER

Middle

MARTIN

Last Name

MCKANNA

Business Name

ALEXANDER MARTIN MCKANNA

Original Issue Date

08/13/2015

Effective Date

07/01/2016

Expiration Date

07/01/2017

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/19/2017