TAD D SPRUNGER 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

TAD D

Last Name

SPRUNGER

Business Name

TAD D SPRUNGER

Original Issue Date

07/14/1997

Effective Date

07/14/1997

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006