MICHAEL M FANOUS DPM 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

MICHAEL M

Last Name

FANOUS

Suffix

DPM

Business Name

MICHAEL M FANOUS DPM

Original Issue Date

05/20/1988

Effective Date

05/20/1988

Expiration Date

01/31/1989

City

LINCOLN PARK

State

Zip

60614

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/25/2006