MARK A MAEDERER JR DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MAEDERER

Suffix

JR DPM

Business Name

MARK A MAEDERER JR DPM

Original Issue Date

04/25/2001

Effective Date

04/25/2001

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60624

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006