BETH E BAUER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

BETH E

Last Name

BAUER

Business Name

BETH E BAUER

Original Issue Date

06/30/1993

Effective Date

06/30/1993

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006