JACK L RANSOM DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

JACK L

Last Name

RANSOM

Suffix

DPM

Business Name

JACK L RANSOM DPM

Original Issue Date

03/25/1996

Effective Date

03/25/1996

Expiration Date

01/31/1999

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006