WARD E WAMPLER II 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

WARD E

Last Name

WAMPLER II

Business Name

WARD E WAMPLER II

Original Issue Date

06/22/1992

Effective Date

06/22/1992

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006