MARK DAVID MINAHAN 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

First Name

MARK DAVID

Last Name

MINAHAN

Suffix

DPM

Business Name

MARK DAVID MINAHAN DPM

Original Issue Date

01/01/1998

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006