BRIAN J REILLY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

BRIAN J

Last Name

REILLY

Suffix

DPM

Business Name

BRIAN J REILLY DPM

Original Issue Date

08/21/1986

Effective Date

01/27/2025

Expiration Date

01/31/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025