CHARLOTTE CZMIEL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

CHARLOTTE

Last Name

CZMIEL

Suffix

DPM

Business Name

CHARLOTTE CZMIEL DPM

Original Issue Date

07/11/2001

Effective Date

12/13/2018

Expiration Date

01/31/2021

City

PARK FOREST

State

Zip

60466

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021