JACOB RYAN LENIHAN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

JACOB

Middle

RYAN

Last Name

LENIHAN

Business Name

JACOB RYAN LENIHAN

Original Issue Date

10/14/2023

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2025