WILLIAM P ROMAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

ROMAN

Suffix

DPM

Business Name

WILLIAM P ROMAN DPM

Original Issue Date

08/17/2004

Effective Date

07/20/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013