DONALD IRVING BURDICK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

DONALD IRVING

Last Name

BURDICK

Business Name

DONALD IRVING BURDICK

Original Issue Date

01/01/1998

Expiration Date

01/31/2001

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006