NEAL BRADLEY ZOMBACK DPM 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

NEAL

Middle

BRADLEY

Last Name

ZOMBACK

Suffix

DPM

Business Name

NEAL BRADLEY ZOMBACK DPM

Original Issue Date

06/24/1986

Effective Date

06/24/1986

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006