JARED MATTHEW MAKER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

JARED

Middle

MATTHEW

Last Name

MAKER

Business Name

JARED MATTHEW MAKER

Original Issue Date

07/08/2019

Effective Date

12/25/2022

Expiration Date

01/31/2025

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026