J MICHAEL MACEK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

Middle

MICHAEL

Last Name

MACEK

Suffix

DPM

Business Name

J MICHAEL MACEK DPM

Original Issue Date

06/26/1984

Effective Date

01/28/2025

Expiration Date

01/31/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025