JANUSZ P SKWARK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

JANUSZ P

Last Name

SKWARK

Suffix

DPM

Business Name

JANUSZ P SKWARK DPM

Original Issue Date

07/09/1986

Effective Date

01/25/2017

Expiration Date

01/31/2019

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019