STEPHANIE MIGNANO DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DPM

First Name

STEPHANIE

Last Name

MIGNANO

Business Name

STEPHANIE MIGNANO DPM

Original Issue Date

01/10/2025

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2025