STAFFORD C CARR JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

STAFFORD C

Last Name

CARR JR

Business Name

STAFFORD C CARR JR

Original Issue Date

01/01/1998

Expiration Date

01/31/2003

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/09/2006