IKE B DPM GORMAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

IKE B DPM

Last Name

GORMAN

Business Name

IKE B DPM GORMAN

Original Issue Date

06/24/1986

Effective Date

06/24/1986

Expiration Date

01/31/1987

City

ST LOUIS

State

Zip

63117

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006