BRIAN LEE MARTIN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

Title

DPM

First Name

BRIAN

Middle

LEE

Last Name

MARTIN

Business Name

BRIAN LEE MARTIN DPM

Original Issue Date

10/13/2005

Effective Date

01/14/2015

Expiration Date

01/31/2017

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017