BRUCE KALLOU Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

BRUCE

Last Name

KALLOU

Business Name

BRUCE KALLOU

Original Issue Date

05/18/2015

Effective Date

05/18/2015

Expiration Date

01/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017