RANDY L LISCH 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

RANDY L

Last Name

LISCH

Business Name

RANDY L LISCH

Original Issue Date

05/02/1983

Effective Date

05/02/1983

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006