JOSHUA B STAUFFER 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

JOSHUA

Middle

Last Name

STAUFFER

Business Name

JOSHUA B STAUFFER

Original Issue Date

06/30/2016

Effective Date

11/14/2018

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021