BRIAN LANCE ROZANSKI Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****64

License Status

CANCELLED

Business

First Name

BRIAN

Middle

LANCE

Last Name

ROZANSKI

Business Name

BRIAN LANCE ROZANSKI

Original Issue Date

02/19/2002

Effective Date

02/19/2002

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2006