MARK ANDREW BIRMINGHAM 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

MARK

Middle

ANDREW

Last Name

BIRMINGHAM

Business Name

MARK ANDREW BIRMINGHAM

Original Issue Date

03/25/2009

Effective Date

12/14/2012

Expiration Date

01/31/2015

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015