THEODORE STANLEY LEONAS JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

THEODORE STANLEY

Last Name

LEONAS JR

Business Name

THEODORE STANLEY LEONAS JR

Original Issue Date

01/01/1998

Expiration Date

01/31/1989

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006