JOHN M DORN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

JOHN M

Last Name

DORN

Suffix

DPM

Business Name

JOHN M DORN DPM

Original Issue Date

05/23/1988

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60633

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2011