EDWARD ANTHONY URAM III DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

Title

DPM

First Name

EDWARD

Middle

ANTHONY

Last Name

URAM

Suffix

III

Business Name

EDWARD ANTHONY URAM III DPM

Original Issue Date

03/21/2019

Effective Date

03/21/2019

Expiration Date

01/31/2021

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021