JASON BRADLEY MORRIS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

JASON

Middle

BRADLEY

Last Name

MORRIS

Business Name

JASON BRADLEY MORRIS

Original Issue Date

09/08/2009

Effective Date

01/23/2017

Expiration Date

01/31/2019

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019