SHANE MYLES YORK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

SHANE

Middle

MYLES

Last Name

YORK

Suffix

DPM

Business Name

SHANE MYLES YORK DPM

Original Issue Date

08/22/2006

Effective Date

11/12/2024

Expiration Date

01/31/2027

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025