LORI A KNUTSTROM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****23

License Status

CANCELLED

Business

First Name

LORI A

Last Name

KNUTSTROM

Business Name

LORI A KNUTSTROM

Original Issue Date

07/20/1989

Effective Date

07/20/1989

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006