JACK ROBERT CHULENGARIAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

JACK ROBERT

Last Name

CHULENGARIAN

Business Name

JACK ROBERT CHULENGARIAN

Original Issue Date

01/19/1993

Effective Date

09/27/2017

Expiration Date

01/31/2019

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019