KELSEY L KROTIAK DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001091

License Status

EXPIRED

Business

Title

DPM

First Name

KELSEY

Middle

Last Name

KROTIAK

Business Name

KELSEY L KROTIAK DPM

Original Issue Date

06/15/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2020