RICHARD G MACDONALD DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

MACDONALD

Suffix

DPM

Business Name

RICHARD G MACDONALD DPM

Original Issue Date

01/01/1998

Effective Date

12/11/2008

Expiration Date

01/31/2011

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

03/10/2011