NICHOLAS ALEKSEI PODKOWIROW DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DPM

First Name

NICHOLAS

Middle

ALEKSEI

Last Name

PODKOWIROW

Business Name

NICHOLAS ALEKSEI PODKOWIROW DPM

Original Issue Date

04/15/2019

Effective Date

01/05/2025

Expiration Date

01/31/2027

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025