JOHN STEPHEN ANDERSON 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

JOHN

Middle

STEPHEN

Last Name

ANDERSON

Suffix

DPM

Business Name

JOHN STEPHEN ANDERSON DPM

Original Issue Date

10/29/2001

Effective Date

10/29/2001

Expiration Date

01/31/2003

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006