LEE M ZIELSDORF 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

LEE M

Last Name

ZIELSDORF

Business Name

LEE M ZIELSDORF

Original Issue Date

01/01/1998

Effective Date

12/01/2008

Expiration Date

01/31/2011

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011