JASON RAY BICKEL Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

JASON

Middle

RAY

Last Name

BICKEL

Business Name

JASON RAY BICKEL

Original Issue Date

02/22/2008

Effective Date

02/22/2008

Expiration Date

01/31/2009

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009