NICOLAS C MARTIN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

First Name

NICOLAS

Middle

Last Name

MARTIN

Business Name

NICOLAS C MARTIN

Original Issue Date

07/12/2023

Effective Date

01/09/2025

Expiration Date

01/31/2027

City

ALTON

State

Zip

62002

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2025