ALEXANDER MARTIN MCKANNA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

ALEXANDER

Middle

MARTIN

Last Name

MCKANNA

Business Name

ALEXANDER MARTIN MCKANNA

Original Issue Date

07/27/2018

Effective Date

01/16/2025

Expiration Date

01/31/2027

City

BLOOMINGDALE

State

Zip

60108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025