JERRY MATTHEW POOLE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

JERRY

Middle

MATTHEW

Last Name

POOLE

Suffix

DPM

Business Name

JERRY MATTHEW POOLE DPM

Original Issue Date

08/28/2002

Effective Date

12/03/2024

Expiration Date

01/31/2027

City

LAKE FOREST

State

Zip

60045

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025