TIMOTHY J QUAGLIANO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

QUAGLIANO

Suffix

DPM

Business Name

TIMOTHY J QUAGLIANO DPM

Original Issue Date

06/22/1993

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

GALENA

State

Zip

60136

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019