MARK DAVID SURAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

MARK DAVID

Last Name

SURAN

Business Name

MARK DAVID SURAN

Original Issue Date

04/18/1988

Effective Date

11/14/2012

Expiration Date

01/31/2015

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015