TIMOTHY S KRUSE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005211

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

KRUSE

Suffix

DPM

Business Name

TIMOTHY S KRUSE DPM

Original Issue Date

09/01/2004

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2024