LAWRENCE M KOSOVA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

Last Name

KOSOVA

Business Name

LAWRENCE M KOSOVA

Original Issue Date

06/22/1993

Effective Date

06/22/1993

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006