VEDA LEWIS-SIMMONS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

VEDA

Last Name

LEWIS-SIMMONS

Suffix

DPM

Business Name

VEDA LEWIS-SIMMONS DPM

Original Issue Date

06/06/2003

Effective Date

06/06/2003

Expiration Date

01/31/2005

City

EAST SAINT LOUIS

State

Zip

62207

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006