MARY D DEGROOT DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

DEGROOT

Suffix

DPM

Business Name

MARY D DEGROOT DPM

Original Issue Date

08/17/2004

Effective Date

01/04/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60656

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025