HEMABH CHANDRA MISHRA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000939

License Status

CANCELLED

Business

Title

DPM

First Name

HEMABH

Middle

CHANDRA

Last Name

MISHRA

Business Name

HEMABH CHANDRA MISHRA DPM

Original Issue Date

10/06/2016

Effective Date

09/01/2016

Expiration Date

09/01/2019

City

CHICAGO

State

Zip

60634

Ever Disciplined

LastModifiedDate

10/06/2016