JIM P LICANDRO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

JIM

Middle

Last Name

LICANDRO

Business Name

JIM P LICANDRO

Original Issue Date

07/16/1998

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013