RONALD GEORGE LAVENDA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

RONALD GEORGE

Last Name

LAVENDA

Business Name

RONALD GEORGE LAVENDA

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006