LAWRENCE BRUCE IKEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

LAWRENCE BRUCE

Last Name

IKEN

Business Name

LAWRENCE BRUCE IKEN

Original Issue Date

04/30/2012

Effective Date

12/31/2012

Expiration Date

01/31/2015

City

MANCHESTER

State

Zip

63011

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015