MARK ROBERT WAVRUNEK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

Title

DPM

First Name

MARK

Middle

ROBERT

Last Name

WAVRUNEK

Business Name

MARK ROBERT WAVRUNEK DPM

Original Issue Date

05/31/2019

Effective Date

11/02/2024

Expiration Date

01/31/2027

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025