HOWARD MICHAEL BLANK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

HOWARD MICHAEL

Last Name

BLANK

Business Name

HOWARD MICHAEL BLANK

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

NORTHLAKE

State

Zip

60164

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006