SAMUEL R BERNARD DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005996

License Status

NOT RENEWED

Business

Title

DPM

First Name

SAMUEL

Middle

Last Name

BERNARD

Business Name

SAMUEL R BERNARD DPM

Original Issue Date

10/17/2022

Effective Date

01/10/2023

Expiration Date

02/28/2025

City

SAINT LOUIS

State

Zip

63128

Ever Disciplined

LastModifiedDate

01/21/2026