KARL J MANGOLD Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

KARL

Middle

Last Name

MANGOLD

Business Name

KARL J MANGOLD

Original Issue Date

11/24/2009

Effective Date

11/24/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011