RONALD A SAGE DPM 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

RONALD

Middle

Last Name

SAGE

Suffix

DPM

Business Name

RONALD A SAGE DPM

Original Issue Date

01/01/1998

Effective Date

12/05/2016

Expiration Date

01/31/2019

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019