DELORIS NADIM RIZQALLAH 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

DELORIS

Middle

NADIM

Last Name

RIZQALLAH

Business Name

DELORIS NADIM RIZQALLAH

Original Issue Date

06/19/2006

Effective Date

09/30/2011

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013