MARK S LISCH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

LISCH

Business Name

MARK S LISCH

Original Issue Date

06/25/1981

Effective Date

06/25/1981

Expiration Date

09/01/1982

City

NORTHLAKE

State

Zip

60164

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006