LEWIS P CARROZZA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

LEWIS P

Last Name

CARROZZA

Business Name

LEWIS P CARROZZA

Original Issue Date

01/01/1998

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021