NICHOLAS ALEKSEI PODKOWIROW DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000936

License Status

CANCELLED

Business

Title

DPM

First Name

NICHOLAS

Middle

ALEKSEI

Last Name

PODKOWIROW

Business Name

NICHOLAS ALEKSEI PODKOWIROW DPM

Original Issue Date

07/18/2016

Effective Date

07/01/2016

Expiration Date

07/01/2019

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2016