ANTHONY HENRY BORRELLI Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

ANTHONY HENRY

Last Name

BORRELLI

Business Name

ANTHONY HENRY BORRELLI

Original Issue Date

07/20/1983

Effective Date

07/20/1983

Expiration Date

01/31/1995

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006