KATHY J MIZE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

MIZE

Business Name

KATHY J MIZE

Original Issue Date

02/28/2007

Effective Date

12/15/2008

Expiration Date

01/31/2011

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011