KEN PAUL GILE Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****66

License Status

CANCELLED

Business

First Name

KEN PAUL

Last Name

GILE

Suffix

DPM DPM

Business Name

KEN PAUL GILE

Original Issue Date

06/08/1998

Effective Date

06/08/1998

Expiration Date

01/31/2001

City

BONDVILLE

State

Zip

61815

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006