TED I ZUSMAN DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****84

License Status

INACTIVE

Business

First Name

TED I

Last Name

ZUSMAN

Suffix

DPM

Business Name

TED I ZUSMAN DPM

Original Issue Date

09/03/1992

Effective Date

01/07/2011

Expiration Date

01/31/2013

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2012