AMANDA M MCGUIRE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

Title

DPM

First Name

AMANDA

Middle

Last Name

MCGUIRE

Business Name

AMANDA M MCGUIRE DPM

Original Issue Date

05/02/2018

Effective Date

12/02/2020

Expiration Date

01/31/2023

City

PRINCETON

State

Zip

61356

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023