TIMOTHY M AXE Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

CANCELLED

Business

First Name

TIMOTHY M

Last Name

AXE

Business Name

TIMOTHY M AXE

Original Issue Date

08/24/1990

Effective Date

08/24/1990

Expiration Date

01/31/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2006