SUSAN LYNN KAPUSTKA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

SUSAN LYNN

Last Name

KAPUSTKA

Business Name

SUSAN LYNN KAPUSTKA

Original Issue Date

08/19/1983

Effective Date

12/29/2014

Expiration Date

01/31/2017

City

LAKEWOOD

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017