TYLER SPALDING MANSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

Title

DPM

First Name

TYLER

Middle

SPALDING

Last Name

MANSON

Business Name

TYLER SPALDING MANSON DPM

Original Issue Date

01/27/2014

Effective Date

12/02/2016

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019