GEORGE R VITO DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****73

License Status

CANCELLED

Business

First Name

GEORGE

Middle

Last Name

VITO

Suffix

DPM

Business Name

GEORGE R VITO DPM

Original Issue Date

05/09/2002

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/03/2010