KEEGAN DUELFER DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

Title

DPM

First Name

KEEGAN

Last Name

DUELFER

Business Name

KEEGAN DUELFER DPM

Original Issue Date

04/04/2023

Effective Date

01/30/2025

Expiration Date

01/31/2027

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2025