CLARK W PILLSBURY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

CLARK W

Last Name

PILLSBURY

Suffix

DPM

Business Name

CLARK W PILLSBURY DPM

Original Issue Date

07/14/1987

Effective Date

07/14/1987

Expiration Date

01/31/1989

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006