SELWYN E WILLIS DPM 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

SELWYN E

Last Name

WILLIS

Suffix

DPM

Business Name

SELWYN E WILLIS DPM

Original Issue Date

08/25/1986

Effective Date

08/25/1986

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60621

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006