THOMAS ANTHONY BUIVIDAS Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****27

License Status

ACTIVE

Business

First Name

THOMAS ANTHONY

Last Name

BUIVIDAS

Business Name

THOMAS ANTHONY BUIVIDAS

Original Issue Date

01/01/1998

Effective Date

02/25/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2025