SIMON DONETS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

SIMON

Last Name

DONETS

Suffix

DPM

Business Name

SIMON DONETS DPM

Original Issue Date

10/20/2003

Effective Date

10/20/2003

Expiration Date

01/31/2005

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006