EUGENE E DEZANEK 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

EUGENE

Middle

Last Name

DEZANEK

Suffix

DPM

Business Name

EUGENE E DEZANEK DPM

Original Issue Date

01/01/1998

Expiration Date

01/31/2003

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/09/2006