DALE J BURANOSKY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

BURANOSKY

Suffix

DPM

Business Name

DALE J BURANOSKY DPM

Original Issue Date

07/03/1997

Effective Date

07/03/1997

Expiration Date

01/31/2001

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006