KENNETH G AMMONS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

AMMONS

Suffix

DPM

Business Name

KENNETH G AMMONS DPM

Original Issue Date

03/28/1985

Effective Date

03/28/1985

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006