TRACY J FIALA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

FIALA

Suffix

DPM

Business Name

TRACY J FIALA DPM

Original Issue Date

02/11/1999

Effective Date

02/11/1999

Expiration Date

01/31/2003

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/09/2006