MICHAEL T HIATT Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****73

License Status

CANCELLED

Business

First Name

MICHAEL T

Last Name

HIATT

Business Name

MICHAEL T HIATT

Original Issue Date

08/07/1984

Effective Date

08/07/1984

Expiration Date

01/31/2001

City

OFALLON

State

Zip

63366

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006