WAYNE MICHAEL MCCULLOUGH DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

Title

DPM

First Name

WAYNE

Middle

MICHAEL

Last Name

MCCULLOUGH

Business Name

WAYNE MICHAEL MCCULLOUGH DPM

Original Issue Date

06/18/2015

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025