CHARLES MIN TACK HAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

MIN TACK

Last Name

HAN

Suffix

DPM

Business Name

CHARLES MIN TACK HAN DPM

Original Issue Date

08/24/2011

Effective Date

01/02/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/27/2017