A DOUGLAS SPITALNY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

Middle

DOUGLAS

Last Name

SPITALNY

Suffix

DPM

Business Name

A DOUGLAS SPITALNY DPM

Original Issue Date

06/02/2017

Effective Date

06/02/2017

Expiration Date

01/31/2019

City

METAMORA

State

Zip

61548

County

WOODFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019