WAYNE MICHAEL MCCULLOUGH DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005656

License Status

ACTIVE

Business

Title

DPM

First Name

WAYNE

Middle

MICHAEL

Last Name

MCCULLOUGH

Business Name

WAYNE MICHAEL MCCULLOUGH DPM

Original Issue Date

06/18/2015

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

11/01/2024