ADAM A DIDYK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

DIDYK

Business Name

ADAM A DIDYK

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

01/31/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009