GREGORY C BRYNICZKA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

GREGORY C

Last Name

BRYNICZKA

Business Name

GREGORY C BRYNICZKA

Original Issue Date

01/24/1996

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009