JENNIFER R DECKER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

DECKER

Business Name

JENNIFER R DECKER

Original Issue Date

06/30/2008

Effective Date

12/02/2008

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011