SANDRA BRIN BLUMENKEHL 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

SANDRA BRIN

Last Name

BLUMENKEHL

Business Name

SANDRA BRIN BLUMENKEHL

Original Issue Date

09/14/1982

Effective Date

09/14/1982

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006