SPENCER KEANE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DPM

First Name

SPENCER

Last Name

KEANE

Business Name

SPENCER KEANE DPM

Original Issue Date

07/09/2024

Effective Date

12/09/2024

Expiration Date

01/31/2027

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2024