CHARLES MIN TACK HAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

MIN TACK

Last Name

HAN

Suffix

DPM

Business Name

CHARLES MIN TACK HAN DPM

Original Issue Date

07/11/2014

Effective Date

01/02/2015

Expiration Date

01/31/2017

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017