KATHRYN ELIZABETH LAVIOLETTE Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000967

License Status

CANCELLED

Business

First Name

KATHRYN

Middle

ELIZABETH

Last Name

LAVIOLETTE

Business Name

KATHRYN ELIZABETH LAVIOLETTE

Original Issue Date

06/15/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2017