GEORGE M REZAC 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

First Name

GEORGE M

Last Name

REZAC

Suffix

DPM

Business Name

GEORGE M REZAC DPM

Original Issue Date

10/16/1987

Effective Date

10/16/1987

Expiration Date

01/31/1989

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006