THEODORE A VORENKAMP DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

VORENKAMP

Suffix

DPM

Business Name

THEODORE A VORENKAMP DPM

Original Issue Date

10/13/2000

Effective Date

10/13/2000

Expiration Date

01/31/2005

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006