MARK CHRISTIAN MARGIOTTA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****34

License Status

CANCELLED

Business

First Name

MARK

Middle

CHRISTIAN

Last Name

MARGIOTTA

Suffix

DPM

Business Name

MARK CHRISTIAN MARGIOTTA DPM

Original Issue Date

04/07/2003

Effective Date

04/07/2003

Expiration Date

01/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006