THOMAS D PAHOLAK 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

THOMAS D

Last Name

PAHOLAK

Business Name

THOMAS D PAHOLAK

Original Issue Date

07/13/1989

Effective Date

01/15/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021