TYLER JAY WISHAU Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

TYLER

Middle

JAY

Last Name

WISHAU

Business Name

TYLER JAY WISHAU

Original Issue Date

09/18/2018

Effective Date

12/03/2024

Expiration Date

01/31/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025