DOMINIK CORNELIUS MEYER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

DOMINIK

Middle

CORNELIUS

Last Name

MEYER

Suffix

DPM

Business Name

DOMINIK CORNELIUS MEYER DPM

Original Issue Date

11/02/2015

Effective Date

12/01/2016

Expiration Date

01/31/2019

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019