MICHAEL MUSCATELLA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

MUSCATELLA

Suffix

DPM

Business Name

MICHAEL MUSCATELLA DPM

Original Issue Date

07/14/1987

Effective Date

12/13/2024

Expiration Date

01/31/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025