SHANE MYLES YORK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005300

License Status

ACTIVE

Business

First Name

SHANE

Middle

MYLES

Last Name

YORK

Suffix

DPM

Business Name

SHANE MYLES YORK DPM

Original Issue Date

07/06/2006

Effective Date

11/12/2024

Expiration Date

01/31/2027

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

02/26/2025