O KENT MERCADO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

O KENT

Last Name

MERCADO

Business Name

O KENT MERCADO

Original Issue Date

09/22/2008

Effective Date

12/22/2016

Expiration Date

01/31/2019

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019