FREDERICK R SPENCER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

FREDERICK R

Last Name

SPENCER

Business Name

FREDERICK R SPENCER

Original Issue Date

08/16/1984

Effective Date

01/05/2021

Expiration Date

01/31/2023

City

NAPERVILLE

State

Zip

60563

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023