PAMELA ANN EERNISSE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

First Name

PAMELA

Middle

ANN

Last Name

EERNISSE

Suffix

DPM

Business Name

PAMELA ANN EERNISSE DPM

Original Issue Date

07/08/1999

Effective Date

12/02/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025