CLIFFORD F MALCOLM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

CLIFFORD F

Last Name

MALCOLM

Business Name

CLIFFORD F MALCOLM

Original Issue Date

01/01/1998

Expiration Date

01/31/1995

City

MOUNT CARMEL

State

Zip

62863

County

EDWARDS

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

09/25/2006