EDWARD R NIEUWENHUIS Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****02

License Status

CANCELLED

Business

First Name

EDWARD R

Last Name

NIEUWENHUIS

Business Name

EDWARD R NIEUWENHUIS

Original Issue Date

06/15/1990

Effective Date

06/15/1990

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006