CARL J BELOCK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

BELOCK

Suffix

DPM

Business Name

CARL J BELOCK DPM

Original Issue Date

02/17/2004

Effective Date

02/17/2004

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

10/09/2006