TANNER MICHAEL DODSON Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001028

License Status

EXPIRED

Business

First Name

TANNER

Middle

MICHAEL

Last Name

DODSON

Business Name

TANNER MICHAEL DODSON

Original Issue Date

11/13/2018

Effective Date

11/13/2018

Expiration Date

11/13/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/18/2022