NICOLA JANE PIKE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

NICOLA

Middle

JANE

Last Name

PIKE

Suffix

DPM

Business Name

NICOLA JANE PIKE DPM

Original Issue Date

09/17/1999

Effective Date

09/17/1999

Expiration Date

01/31/2001

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006