KATHARINE ROOSEVELT REEVE 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

Title

DPM

First Name

KATHARINE

Middle

ROOSEVELT

Last Name

REEVE

Business Name

KATHARINE ROOSEVELT REEVE DPM

Original Issue Date

05/05/2015

Effective Date

05/05/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017