JENNIFER ANN BARA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

BARA

Business Name

JENNIFER ANN BARA

Original Issue Date

09/15/2009

Effective Date

01/18/2013

Expiration Date

01/31/2015

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015