AMANDA MARIE BOZICH DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DPM

First Name

AMANDA

Middle

MARIE

Last Name

BOZICH

Business Name

AMANDA MARIE BOZICH DPM

Original Issue Date

03/25/2019

Effective Date

11/30/2024

Expiration Date

01/31/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025