THOMAS W CHILDRESS JR 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

THOMAS W

Last Name

CHILDRESS JR

Business Name

THOMAS W CHILDRESS JR

Original Issue Date

06/16/1992

Effective Date

06/16/1992

Expiration Date

01/31/1995

City

JUSTICE

State

Zip

60458

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006