ABIGAIL A MAHONEY Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

First Name

ABIGAIL

Middle

Last Name

MAHONEY

Business Name

ABIGAIL A MAHONEY

Original Issue Date

07/24/2006

Effective Date

11/07/2024

Expiration Date

01/31/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025