DAVID Y VANG DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****06

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

VANG

Suffix

DPM

Business Name

DAVID Y VANG DPM

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2006