RICHARD W BURT - Podiatrist License in Indiana | # 016003514

RICHARD W BURT

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003514

License Status

INACTIVE

Business

N

First Name

RICHARD W

Last Name

BURT

Business Name

RICHARD W BURT

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

01/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/25/2006