TRACY J FIALA DPM - Podiatrist License in Indiana | # 135000284

TRACY J FIALA DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000284

License Status

EXPIRED

Business

N

First Name

TRACY

Middle

J

Last Name

FIALA

Suffix

DPM

Business Name

TRACY J FIALA DPM

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1998

State

IN

Ever Disciplined

N

LastModifiedDate

09/25/2006