ALVA JACK HARLER DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****88

License Status

CANCELLED

Business

First Name

ALVA

Middle

JACK

Last Name

HARLER

Suffix

DPM

Business Name

ALVA JACK HARLER DPM

Original Issue Date

01/01/1998

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2008