ELLIOTT D HUDSON DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****61

License Status

CANCELLED

Business

First Name

ELLIOTT

Middle

Last Name

HUDSON

Suffix

DPM

Business Name

ELLIOTT D HUDSON DPM

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006