RICHARD L BASIC - Podiatrist License in Indiana | # 016002284

RICHARD L BASIC

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002284

License Status

INACTIVE

Business

N

First Name

RICHARD L

Last Name

BASIC

Business Name

RICHARD L BASIC

Original Issue Date

07/18/1956

Effective Date

07/18/1956

Expiration Date

01/31/1991

State

IN

Ever Disciplined

N

LastModifiedDate

09/25/2006