MARTIN CARBONELLA 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

MARTIN

Last Name

CARBONELLA

Business Name

MARTIN CARBONELLA

Original Issue Date

07/13/1983

Effective Date

07/13/1983

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006