DOUG A DIEKEVERS Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

DOUG A

Last Name

DIEKEVERS

Business Name

DOUG A DIEKEVERS

Original Issue Date

07/30/1990

Effective Date

12/18/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026