DAVID L BRANDRETH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

BRANDRETH

Suffix

DPM

Business Name

DAVID L BRANDRETH DPM

Original Issue Date

12/18/1986

Effective Date

12/18/1986

Expiration Date

01/31/1989

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006