NICOLE DANIELLE AZMAT Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

NICOLE

Middle

DANIELLE

Last Name

AZMAT

Business Name

NICOLE DANIELLE AZMAT

Original Issue Date

06/18/2020

Effective Date

12/21/2024

Expiration Date

01/31/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025