THEODORE STANLEY LEONAS JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

THEODORE STANLEY

Last Name

LEONAS JR

Business Name

THEODORE STANLEY LEONAS JR

Original Issue Date

03/11/1998

Effective Date

03/11/1998

Expiration Date

01/31/2005

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/09/2006