BRIAN DAVID BUCKROP DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003083

License Status

NOT RENEWED

Business

Title

DPM

First Name

BRIAN

Middle

DAVID

Last Name

BUCKROP

Business Name

BRIAN DAVID BUCKROP DPM

Original Issue Date

06/27/1979

Effective Date

11/28/2018

Expiration Date

01/31/2021

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/11/2021