MARK G PIETZ Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****13

License Status

CANCELLED

Business

First Name

MARK G

Last Name

PIETZ

Business Name

MARK G PIETZ

Original Issue Date

07/11/1984

Effective Date

07/11/1984

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006