LOUIS J GAEFKE Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****26

License Status

CANCELLED

Business

First Name

LOUIS

Middle

Last Name

GAEFKE

Business Name

LOUIS J GAEFKE

Original Issue Date

08/19/1999

Effective Date

08/19/1999

Expiration Date

01/31/2001

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006