BRIAN DAVID BUCKROP DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

Title

DPM

First Name

BRIAN

Middle

DAVID

Last Name

BUCKROP

Business Name

BRIAN DAVID BUCKROP DPM

Original Issue Date

01/01/1998

Effective Date

11/28/2018

Expiration Date

01/31/2021

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021