RHIANNON M BALAZIC DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001056

License Status

CANCELLED

Business

Title

DPM

First Name

RHIANNON

Middle

Last Name

BALAZIC

Business Name

RHIANNON M BALAZIC DPM

Original Issue Date

06/18/2019

Effective Date

07/01/2019

Expiration Date

07/01/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

02/22/2023