MARK G PIETZ 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

MARK G

Last Name

PIETZ

Business Name

MARK G PIETZ

Original Issue Date

12/12/1990

Effective Date

12/12/1990

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006