BRUCE W KRELL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

BRUCE W

Last Name

KRELL

Suffix

DPM

Business Name

BRUCE W KRELL DPM

Original Issue Date

07/09/1987

Effective Date

07/09/1987

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006