KELLY R LAWLER 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

KELLY

Middle

Last Name

LAWLER

Business Name

KELLY R LAWLER

Original Issue Date

07/19/2005

Effective Date

01/24/2013

Expiration Date

01/31/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015