SALLEE TAYLOR RANDOLPH Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000916

License Status

EXPIRED

Business

First Name

SALLEE

Middle

TAYLOR

Last Name

RANDOLPH

Business Name

SALLEE TAYLOR RANDOLPH

Original Issue Date

06/08/2016

Effective Date

07/01/2016

Expiration Date

07/01/2019

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2019