RICHARD H MANDAL 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

RICHARD H

Last Name

MANDAL

Suffix

DPM

Business Name

RICHARD H MANDAL DPM

Original Issue Date

04/28/1997

Effective Date

04/28/1997

Expiration Date

01/31/2007

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007