LEON G SHINGLEDECKER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

LEON

Middle

Last Name

SHINGLEDECKER

Business Name

LEON G SHINGLEDECKER

Original Issue Date

05/20/2002

Effective Date

05/20/2002

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006