KAPIL DUA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

Title

DPM

First Name

KAPIL

Last Name

DUA

Business Name

KAPIL DUA DPM

Original Issue Date

07/01/2008

Effective Date

12/23/2016

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019