DALE J BURANOSKY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

BURANOSKY

Suffix

DPM

Business Name

DALE J BURANOSKY DPM

Original Issue Date

08/31/2005

Effective Date

12/15/2008

Expiration Date

01/31/2009

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2008