HEATH ADAM HOFFMAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

HEATH

Middle

ADAM

Last Name

HOFFMAN

Business Name

HEATH ADAM HOFFMAN

Original Issue Date

08/17/2007

Effective Date

12/10/2008

Expiration Date

01/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011