BLAYNE H MCCAFFREY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

Title

DPM

First Name

BLAYNE

Middle

Last Name

MCCAFFREY

Business Name

BLAYNE H MCCAFFREY DPM

Original Issue Date

07/14/2011

Effective Date

12/03/2012

Expiration Date

01/31/2015

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015