SETH M ANDERSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

SETH

Middle

Last Name

ANDERSON

Suffix

DPM

Business Name

SETH M ANDERSON DPM

Original Issue Date

07/12/2011

Effective Date

01/26/2015

Expiration Date

01/31/2017

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017