GUY W MATTANA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

GUY W

Last Name

MATTANA

Business Name

GUY W MATTANA

Original Issue Date

10/04/1983

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

LIBERTYVILLE

State

Zip

60048

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025