LUIS E MENDOZA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

LUIS

Middle

Last Name

MENDOZA

Suffix

DPM

Business Name

LUIS E MENDOZA DPM

Original Issue Date

09/11/1990

Effective Date

12/05/2024

Expiration Date

01/31/2027

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025