KENNETH G SJOQUIST Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

KENNETH G

Last Name

SJOQUIST

Business Name

KENNETH G SJOQUIST

Original Issue Date

01/01/1998

Expiration Date

01/31/1995

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/25/2006