DIMITRIOS G DERNIS Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****81

License Status

CANCELLED

Business

First Name

DIMITRIOS G

Last Name

DERNIS

Business Name

DIMITRIOS G DERNIS

Original Issue Date

06/22/1990

Effective Date

06/22/1990

Expiration Date

01/31/2001

City

DES PLAINES

State

Zip

60018

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006