MICHAEL ROBERT OWENS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006069

License Status

ACTIVE

Business

Title

DPM

First Name

MICHAEL

Middle

ROBERT

Last Name

OWENS

Business Name

MICHAEL ROBERT OWENS DPM

Original Issue Date

07/12/2024

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

CRYSTAL LAKE

State

Zip

60014

Ever Disciplined

LastModifiedDate

01/10/2025