CHARLTON A PETER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

CHARLTON A

Last Name

PETER

Business Name

CHARLTON A PETER

Original Issue Date

05/14/1986

Effective Date

05/14/1986

Expiration Date

01/31/1987

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006