DAVID A VANDER BIE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

DAVID A VANDER

Last Name

BIE

Business Name

DAVID A VANDER BIE

Original Issue Date

07/07/1982

Effective Date

07/07/1982

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60626

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006