GOLNAR PRUDHOMME DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

GOLNAR

Last Name

PRUDHOMME

Suffix

DPM

Business Name

GOLNAR PRUDHOMME DPM

Original Issue Date

12/01/2011

Effective Date

12/01/2011

Expiration Date

01/31/2013

City

GATES MILLS

State

Zip

44040

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/20/2013