ANN R GORANSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

GORANSON

Business Name

ANN R GORANSON

Original Issue Date

10/04/1988

Effective Date

10/04/1988

Expiration Date

01/31/1991

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006