GRETCHEN MARIE EVANS DPM 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

GRETCHEN

Middle

MARIE

Last Name

EVANS

Suffix

DPM

Business Name

GRETCHEN MARIE EVANS DPM

Original Issue Date

05/17/2001

Effective Date

01/14/2009

Expiration Date

01/31/2011

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011