KIM D FJELSTAD 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

KIM D

Last Name

FJELSTAD

Business Name

KIM D FJELSTAD

Original Issue Date

07/11/1984

Effective Date

07/11/1984

Expiration Date

01/31/1987

City

NORTHLAKE

State

Zip

60164

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006