SUPNA O REILLY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005494

License Status

ACTIVE

Business

First Name

SUPNA

Middle

Last Name

REILLY

Suffix

DPM

Business Name

SUPNA O REILLY DPM

Original Issue Date

07/06/2011

Effective Date

12/23/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025