ANTHONY V DE CEANNE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

ANTHONY V

Last Name

DE CEANNE

Suffix

DPM

Business Name

ANTHONY V DE CEANNE DPM

Original Issue Date

04/19/1993

Effective Date

04/19/1993

Expiration Date

01/31/2003

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006