DUANE ANTHONY BROWN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002686

License Status

NOT RENEWED

Business

Title

DPM

First Name

DUANE

Middle

ANTHONY

Last Name

BROWN

Business Name

DUANE ANTHONY BROWN DPM

Original Issue Date

06/29/1972

Effective Date

12/17/2020

Expiration Date

01/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/31/2023