MARK G PIETZ Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

MARK G

Last Name

PIETZ

Business Name

MARK G PIETZ

Original Issue Date

12/10/1987

Effective Date

01/22/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025