JAMES JOHN DIRESTA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

JAMES JOHN

Last Name

DIRESTA

Business Name

JAMES JOHN DIRESTA

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

GLENDALE HEIGHTS

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006