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License Number: PO4411

Data As Of 6/25/2024

Profession Podiatric Physician
License PO4411
License Status CLEAR/Active
Qualifications Dispensing
License Expiration Date 3/31/2026
License Original Issue Date 04/27/2022
Address of Record 7775 Lake Worth Rd
LAKE WORTH, FL 33467
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) No
Discipline on File No
Public Complaint No

The information on this page is a secure, primary source for license verification provided by the Florida Department of Health, Division of Medical Quality Assurance. This website is maintained by Division staff and is updated immediately upon a change to our licensing and enforcement database.