MARY M DI SOMMA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

Title

DPM

First Name

MARY

Middle

Last Name

DI SOMMA

Business Name

MARY M DI SOMMA DPM

Original Issue Date

11/18/1991

Effective Date

01/05/2021

Expiration Date

01/31/2023

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023