MARK DAVID SURAN 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

MARK DAVID

Last Name

SURAN

Business Name

MARK DAVID SURAN

Original Issue Date

04/04/1988

Effective Date

04/04/1988

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006