TIMOTHY J SALLEY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

TIMOTHY J

Last Name

SALLEY

Suffix

DPM

Business Name

TIMOTHY J SALLEY DPM

Original Issue Date

01/29/1987

Effective Date

12/19/2016

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019