BRADLEY W BUCKROP DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

BRADLEY W

Last Name

BUCKROP

Suffix

DPM

Business Name

BRADLEY W BUCKROP DPM

Original Issue Date

11/30/1992

Effective Date

01/09/2019

Expiration Date

01/31/2021

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021