KELVIN D GIPSON 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

KELVIN D

Last Name

GIPSON

Business Name

KELVIN D GIPSON

Original Issue Date

09/29/1989

Effective Date

09/29/1989

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006