NICHOLAS M TABOR III Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

TABOR

Suffix

III

Business Name

NICHOLAS M TABOR III

Original Issue Date

07/20/1987

Effective Date

12/03/2024

Expiration Date

01/31/2027

City

LASALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025