VICKIE R DRIVER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

VICKIE

Middle

Last Name

DRIVER

Suffix

DPM

Business Name

VICKIE R DRIVER DPM

Original Issue Date

10/20/2005

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009