BENJAMIN M SANTOS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

SANTOS

Suffix

DPM

Business Name

BENJAMIN M SANTOS DPM

Original Issue Date

08/03/1983

Effective Date

08/03/1983

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006