CRAIG ANDREW SHOUSE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DPM

First Name

CRAIG

Middle

ANDREW

Last Name

SHOUSE

Business Name

CRAIG ANDREW SHOUSE DPM

Original Issue Date

04/28/2015

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019