GUY W MATTANA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

GUY W

Last Name

MATTANA

Business Name

GUY W MATTANA

Original Issue Date

01/09/1991

Effective Date

12/09/2016

Expiration Date

01/31/2019

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019