CARL E PROCTOR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

CARL E

Last Name

PROCTOR

Business Name

CARL E PROCTOR

Original Issue Date

01/01/1998

Expiration Date

01/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006