MATTHEW WAYNE ROBISON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

WAYNE

Last Name

ROBISON

Suffix

DPM

Business Name

MATTHEW WAYNE ROBISON DPM

Original Issue Date

08/20/2001

Effective Date

08/20/2001

Expiration Date

01/31/2003

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006