TRAVIS D PIPER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

TRAVIS D

Last Name

PIPER

Business Name

TRAVIS D PIPER

Original Issue Date

03/23/1998

Effective Date

03/23/1998

Expiration Date

01/31/2001

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006