DANFORTH S DESENA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

DANFORTH S

Last Name

DESENA

Business Name

DANFORTH S DESENA

Original Issue Date

08/16/1982

Effective Date

08/16/1982

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006