JEFFREY S BOBERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

JEFFREY S

Last Name

BOBERG

Suffix

DPM

Business Name

JEFFREY S BOBERG DPM

Original Issue Date

07/19/1988

Effective Date

01/20/2011

Expiration Date

01/31/2013

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013