MATTHEW L DIAMOND DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DPM

First Name

MATTHEW

Middle

Last Name

DIAMOND

Business Name

MATTHEW L DIAMOND DPM

Original Issue Date

07/15/2024

Effective Date

12/23/2024

Expiration Date

01/31/2027

City

ST CHARLES

State

Zip

60174

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/23/2024