ALEX JOHN BUIVIDAS Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****57

License Status

CANCELLED

Business

First Name

ALEX JOHN

Last Name

BUIVIDAS

Business Name

ALEX JOHN BUIVIDAS

Original Issue Date

01/01/1998

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2006