EUGENE S PAWLAK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

EUGENE S

Last Name

PAWLAK

Business Name

EUGENE S PAWLAK

Original Issue Date

09/29/1989

Effective Date

09/29/1989

Expiration Date

01/31/1991

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006