BRIAN LEE HAMM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

LEE

Last Name

HAMM

Business Name

BRIAN LEE HAMM

Original Issue Date

07/08/2008

Effective Date

12/12/2018

Expiration Date

01/31/2021

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021