GUY W MATTANA 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

GUY W

Last Name

MATTANA

Business Name

GUY W MATTANA

Original Issue Date

01/10/1997

Effective Date

01/10/1997

Expiration Date

01/31/1999

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006