KELLY JOANN JOHN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JOANN

Last Name

JOHN

Suffix

DPM

Business Name

KELLY JOANN JOHN DPM

Original Issue Date

07/30/2003

Effective Date

12/08/2022

Expiration Date

01/31/2025

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026