JESSE PLASENCIA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

JESSE

Last Name

PLASENCIA

Business Name

JESSE PLASENCIA

Original Issue Date

01/29/2001

Effective Date

01/29/2001

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006