BRIAN A KING DPM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

BRIAN A

Last Name

KING

Suffix

DPM DPM

Business Name

BRIAN A KING DPM DPM

Original Issue Date

08/06/1987

Effective Date

11/13/2024

Expiration Date

01/31/2027

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025