LAWRENCE M KOSOVA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

Last Name

KOSOVA

Business Name

LAWRENCE M KOSOVA

Original Issue Date

08/25/1986

Effective Date

12/02/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025