MARY DIANE COBB 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

MARY

Middle

DIANE

Last Name

COBB

Business Name

MARY DIANE COBB

Original Issue Date

04/04/2019

Effective Date

04/04/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021