NICHOLAS ALEKSEI PODKOWIROW DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005829

License Status

ACTIVE

Business

Title

DPM

First Name

NICHOLAS

Middle

ALEKSEI

Last Name

PODKOWIROW

Business Name

NICHOLAS ALEKSEI PODKOWIROW DPM

Original Issue Date

04/15/2019

Effective Date

01/05/2025

Expiration Date

01/31/2027

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/26/2025