CHARLES S DEZANEK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

CHARLES S

Last Name

DEZANEK

Business Name

CHARLES S DEZANEK

Original Issue Date

01/01/1998

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/25/2006