MARK A BUCKROP Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

BUCKROP

Business Name

MARK A BUCKROP

Original Issue Date

01/01/1998

Expiration Date

01/31/2007

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006