BETH E BAUER Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****58

License Status

CANCELLED

Business

First Name

BETH E

Last Name

BAUER

Business Name

BETH E BAUER

Original Issue Date

11/21/1995

Effective Date

11/21/1995

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006