STEPHEN E PANETTA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

STEPHEN E

Last Name

PANETTA

Business Name

STEPHEN E PANETTA

Original Issue Date

07/09/1990

Effective Date

07/09/1990

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006