LYNAE AILEEN PIERSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

LYNAE

Middle

AILEEN

Last Name

PIERSON

Suffix

DPM

Business Name

LYNAE AILEEN PIERSON DPM

Original Issue Date

08/09/2000

Effective Date

01/20/2011

Expiration Date

01/31/2013

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/20/2013