REBECCA JANE HODULIK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

JANE

Last Name

HODULIK

Suffix

DPM

Business Name

REBECCA JANE HODULIK DPM

Original Issue Date

02/25/2009

Effective Date

02/25/2009

Expiration Date

01/31/2011

City

MANHATTAN

State

Zip

60442

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011