MARIAN ROSE KAVANAUGH DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DPM

First Name

MARIAN

Middle

ROSE

Last Name

KAVANAUGH

Business Name

MARIAN ROSE KAVANAUGH DPM

Original Issue Date

08/11/2025

Effective Date

08/11/2025

Expiration Date

01/31/2027

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2025