JOHNNY DAN PARKER JR DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

JOHNNY

Middle

DAN

Last Name

PARKER

Suffix

JR DPM

Business Name

JOHNNY DAN PARKER JR DPM

Original Issue Date

01/01/1998

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2024