BRIAN EDWARD BACARDI Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

BRIAN EDWARD

Last Name

BACARDI

Business Name

BRIAN EDWARD BACARDI

Original Issue Date

09/15/1983

Effective Date

01/08/2025

Expiration Date

01/31/2027

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025