JACOB RYAN LENIHAN Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001096

License Status

CANCELLED

Business

First Name

JACOB

Middle

RYAN

Last Name

LENIHAN

Business Name

JACOB RYAN LENIHAN

Original Issue Date

06/15/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2020