JOHN JULIAN MYTYCH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

JULIAN

Last Name

MYTYCH

Suffix

DPM

Business Name

JOHN JULIAN MYTYCH DPM

Original Issue Date

12/16/2002

Effective Date

01/26/2021

Expiration Date

01/31/2023

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023