DIANA K TABOR DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DPM

First Name

DIANA

Middle

Last Name

TABOR

Business Name

DIANA K TABOR DPM

Original Issue Date

07/16/2015

Effective Date

01/26/2025

Expiration Date

01/31/2027

City

GLEN ELLYN

State

Zip

60137

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025