MICHAEL A DEVITO DPM Podiatrist License verification

Business Entity

INOPERATIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****13

License Status

INOPERATIVE

Business

First Name

MICHAEL

Middle

Last Name

DEVITO

Suffix

DPM

Business Name

MICHAEL A DEVITO DPM

Original Issue Date

07/30/1991

Effective Date

12/29/2024

Expiration Date

01/31/2027

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025