TODD BRADLEY MANN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

TODD

Middle

BRADLEY

Last Name

MANN

Suffix

DPM

Business Name

TODD BRADLEY MANN DPM

Original Issue Date

09/04/1997

Effective Date

09/04/1997

Expiration Date

01/31/2001

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006