FREDERICK LEMUEL MATTHEWS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005325

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

LEMUEL

Last Name

MATTHEWS

Suffix

DPM

Business Name

FREDERICK LEMUEL MATTHEWS DPM

Original Issue Date

05/18/2007

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

ST LOUIS

State

Zip

63115

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/28/2019