J ALLEN CHVALA JR 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

J ALLEN

Last Name

CHVALA JR

Business Name

J ALLEN CHVALA JR

Original Issue Date

09/30/1991

Effective Date

12/15/2014

Expiration Date

01/31/2017

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017