FREDERICK LEMUEL MATTHEWS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

LEMUEL

Last Name

MATTHEWS

Suffix

DPM

Business Name

FREDERICK LEMUEL MATTHEWS DPM

Original Issue Date

05/18/2007

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019