MICHAEL T HIATT 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

MICHAEL T

Last Name

HIATT

Business Name

MICHAEL T HIATT

Original Issue Date

03/31/1993

Effective Date

03/31/1993

Expiration Date

01/31/1999

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006