MICHAEL E CLARK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

Title

DPM

First Name

MICHAEL

Middle

Last Name

CLARK

Business Name

MICHAEL E CLARK DPM

Original Issue Date

01/01/1998

Effective Date

01/22/2019

Expiration Date

01/31/2021

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021