JACOB DANIEL TILSLEY Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

First Name

JACOB

Middle

DANIEL

Last Name

TILSLEY

Business Name

JACOB DANIEL TILSLEY

Original Issue Date

04/21/2023

Effective Date

12/02/2024

Expiration Date

01/31/2027

City

MT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/02/2024