WALTER DU BOSE CLARK Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****45

License Status

CANCELLED

Business

First Name

WALTER DU BOSE

Last Name

CLARK

Business Name

WALTER DU BOSE CLARK

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

BIRMINGHAM

State

Zip

35205

County

ALABAMA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006