MICHAEL AN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006074

License Status

ACTIVE

Business

Title

DPM

First Name

MICHAEL

Last Name

Business Name

MICHAEL AN DPM

Original Issue Date

07/23/2024

Effective Date

11/24/2024

Expiration Date

01/31/2027

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/24/2024