DENISE J PETENZI Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

DENISE

Middle

Last Name

PETENZI

Business Name

DENISE J PETENZI

Original Issue Date

01/17/2003

Effective Date

11/24/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025