THOMAS MICHAEL CAMPBELL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DPM

First Name

THOMAS

Middle

MICHAEL

Last Name

CAMPBELL

Business Name

THOMAS MICHAEL CAMPBELL DPM

Original Issue Date

03/06/2019

Effective Date

03/06/2019

Expiration Date

01/31/2021

City

VILLA PARK

State

Zip

60181

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021