SAM LEVENS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

LEVENS

Business Name

SAM LEVENS

Original Issue Date

01/01/1998

Expiration Date

01/31/1991

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Controlled Substance Schedule

II V

Ever Disciplined

LastModifiedDate

09/25/2006