SUSAN L BERTHEL Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****78

License Status

CANCELLED

Business

First Name

SUSAN L

Last Name

BERTHEL

Business Name

SUSAN L BERTHEL

Original Issue Date

09/30/1988

Effective Date

01/20/2009

Expiration Date

01/31/2011

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/03/2010