SARAH ANN SUMMER MATOUK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

SARAH ANN

Middle

SUMMER

Last Name

MATOUK

Business Name

SARAH ANN SUMMER MATOUK

Original Issue Date

07/12/2016

Effective Date

01/04/2017

Expiration Date

01/31/2019

City

LOS BANOS

State

Zip

93635

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019