ANTHONY V DE CEANNE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

ANTHONY V

Last Name

DE CEANNE

Suffix

DPM

Business Name

ANTHONY V DE CEANNE DPM

Original Issue Date

03/15/1991

Effective Date

01/06/2025

Expiration Date

01/31/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025