GOLNAR PRUDHOMME DPM - Podiatrist License in Ohio | # 31*****50

GOLNAR PRUDHOMME DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

N

First Name

GOLNAR

Last Name

PRUDHOMME

Suffix

DPM

Business Name

GOLNAR PRUDHOMME DPM

Original Issue Date

12/01/2011

Effective Date

12/01/2011

Expiration Date

01/31/2013

State

OH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II

Ever Disciplined

N

LastModifiedDate

03/20/2013