SAMUEL R BERNARD DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****83

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

01/31/2025

City

SAINT LOUIS

State

Zip

63128

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026