J ALLEN CHVALA JR Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****13

License Status

CANCELLED

Business

First Name

J ALLEN

Last Name

CHVALA JR

Business Name

J ALLEN CHVALA JR

Original Issue Date

12/30/2002

Effective Date

12/30/2002

Expiration Date

01/31/2005

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006