ANDREA S DIRKSEN

Temporary Podiatric Physician

Illinois  135000603   Expired

This Illinois license was held by ANDREA S DIRKSEN. The license is no longer active. It was granted on 12/16/2005 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 135000603
  • Category: TEMPORARY PODIATRIC PHYSICIAN
  • Status: Expired
  • Date Granted: 12/16/2005 (over 18 years ago)
  • Expiry Date: 06/30/2007 (almost 17 years ago)

LOCATIONS

A Address

ROCKFORD, IL 61108