THEODORE STANLEY LEONAS JR 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

THEODORE STANLEY

Last Name

LEONAS JR

Business Name

THEODORE STANLEY LEONAS JR

Original Issue Date

10/26/2006

Effective Date

01/31/2013

Expiration Date

01/31/2015

City

CRETE

State

Zip

60417

County

WILL

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

03/09/2015