MALCOLM D HERZOG DPM Podiatrist License verification

MALCOLM D HERZOG DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003225

License Status

ACTIVE

Business

First Name

MALCOLM

Middle

Last Name

HERZOG

Suffix

DPM

Business Name

MALCOLM D HERZOG DPM

Original Issue Date

06/02/1981

Effective Date

12/18/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60632

Ever Disciplined

LastModifiedDate

02/26/2025

Case Number

2013008145

Action

Fine

Discipline Start Date

06/20/2019

Discipline Reason

based on allegations that from December 3, 2012 through December 20, 2013, respondent's DEA Registration was used by another provider to order large amounts of hydrocodone without his knowledge or authorization. After requesting that this practice cease, respondent failed to take further sufficient action to ensure that controlled substances would not be ordered under his DEA registration number. Additionally, respondent self-prescribed Vicoprofen and Xanax to treat his acute plantar fasciitis in 2013.