WADE AUSTIN HENDERSHOT Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000932

License Status

EXPIRED

Business

First Name

WADE

Middle

AUSTIN

Last Name

HENDERSHOT

Business Name

WADE AUSTIN HENDERSHOT

Original Issue Date

06/30/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2019