A DOUGLAS SPITALNY DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****81

License Status

CANCELLED

Business

First Name

Middle

DOUGLAS

Last Name

SPITALNY

Suffix

DPM

Business Name

A DOUGLAS SPITALNY DPM

Original Issue Date

02/13/2004

Effective Date

02/13/2004

Expiration Date

01/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/25/2006