MARK LEWIS ROLNICK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DPM

First Name

MARK

Middle

LEWIS

Last Name

ROLNICK

Business Name

MARK LEWIS ROLNICK DPM

Original Issue Date

06/29/1981

Effective Date

06/29/1981

Expiration Date

01/31/1985

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006