FREDERICK JOSEPH DIEL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

JOSEPH

Last Name

DIEL

Suffix

DPM

Business Name

FREDERICK JOSEPH DIEL DPM

Original Issue Date

12/12/2008

Effective Date

01/11/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013