PETA MINEROF-BARTOS 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

PETA

Last Name

MINEROF-BARTOS

Business Name

PETA MINEROF-BARTOS

Original Issue Date

04/20/1993

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

SKOKIE

State

Zip

60076

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019