The holder whose full name is BERNBOM, EDWARD T,come from CHICAGO IL,hold the Podiatrist license(NO.07000449A) which status is Expired.
| Name | BERNBOM, EDWARD T |
|---|---|
| License Number | 07000449A |
| License Type | Podiatrist |
| License Status | Expired |
| City | CHICAGO |
| State | IL |