ZACHARY ALLEN MOODY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

Title

DPM

First Name

ZACHARY

Middle

ALLEN

Last Name

MOODY

Business Name

ZACHARY ALLEN MOODY DPM

Original Issue Date

09/16/2014

Effective Date

12/21/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025