GINA MARIE DIPERNA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

Title

DPM

First Name

GINA

Middle

MARIE

Last Name

DIPERNA

Business Name

GINA MARIE DIPERNA DPM

Original Issue Date

03/07/2012

Effective Date

12/26/2016

Expiration Date

01/31/2019

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019