ADAM JAY BUFFINGTON DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000921

License Status

CANCELLED

Business

Title

DPM

First Name

ADAM

Middle

JAY

Last Name

BUFFINGTON

Business Name

ADAM JAY BUFFINGTON DPM

Original Issue Date

06/09/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

06/09/2016