KIMBERLY M EICKMEIER DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

Title

DPM

First Name

KIMBERLY M

Last Name

EICKMEIER

Business Name

KIMBERLY M EICKMEIER DPM

Original Issue Date

01/20/2023

Effective Date

12/09/2024

Expiration Date

01/31/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2024