LORY A KEANE 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

LORY A

Last Name

KEANE

Business Name

LORY A KEANE

Original Issue Date

12/24/1992

Effective Date

12/24/1992

Expiration Date

01/31/1995

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006