MARK J GAGNON Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

First Name

MARK J

Last Name

GAGNON

Business Name

MARK J GAGNON

Original Issue Date

07/14/1997

Effective Date

01/15/2025

Expiration Date

01/31/2027

City

SUMMIT

State

Zip

60501

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025