THOMAS JAMES BOYSEN 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

THOMAS JAMES

Last Name

BOYSEN

Business Name

THOMAS JAMES BOYSEN

Original Issue Date

01/01/1998

Effective Date

12/04/2012

Expiration Date

01/31/2015

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015