KENNETH G AMMONS 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

First Name

KENNETH

Middle

Last Name

AMMONS

Suffix

DPM

Business Name

KENNETH G AMMONS DPM

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

01/31/2005

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006