GRETCHEN MARIE EVANS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****12

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

05/17/2001

Expiration Date

01/31/2003

City

METAMORA

State

Zip

61548

County

WOODFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006