TERA JORDIN SANTISTEVAN Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001003

License Status

EXPIRED

Business

First Name

TERA

Middle

JORDIN

Last Name

SANTISTEVAN

Business Name

TERA JORDIN SANTISTEVAN

Original Issue Date

06/12/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022