FRANCISCO GUADALUPE MENDIVIL-MORENO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

Title

DPM

First Name

FRANCISCO

Middle

GUADALUPE

Last Name

MENDIVIL-MORENO

Business Name

FRANCISCO GUADALUPE MENDIVIL-MORENO DPM

Original Issue Date

06/27/2016

Effective Date

01/12/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019