SCOTT L VANDEVORDE 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

SCOTT L

Last Name

VANDEVORDE

Business Name

SCOTT L VANDEVORDE

Original Issue Date

09/29/1989

Effective Date

09/29/1989

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006