LILLIAN A MENTZELOPOULOS DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001006

License Status

CANCELLED

Business

Title

DPM

First Name

LILLIAN

Middle

Last Name

MENTZELOPOULOS

Business Name

LILLIAN A MENTZELOPOULOS DPM

Original Issue Date

06/13/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

06/13/2018