KIRK M BOTT Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

KIRK M

Last Name

BOTT

Business Name

KIRK M BOTT

Original Issue Date

10/24/1985

Effective Date

01/24/2025

Expiration Date

01/31/2027

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/16/2025