CHARLES A MISURACA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

MISURACA

Business Name

CHARLES A MISURACA

Original Issue Date

01/01/1998

Expiration Date

01/31/1991

City

WILLOWBROOK

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006