LISA A DEBERNARDI Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

DEBERNARDI

Business Name

LISA A DEBERNARDI

Original Issue Date

12/16/1996

Effective Date

02/02/2015

Expiration Date

01/31/2017

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017