KORNVIVAT YINGSERY 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

KORNVIVAT

Last Name

YINGSERY

Business Name

KORNVIVAT YINGSERY

Original Issue Date

08/12/1985

Effective Date

08/12/1985

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006