TIMOTHY S KRUSE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

KRUSE

Suffix

DPM

Business Name

TIMOTHY S KRUSE DPM

Original Issue Date

09/01/2004

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025