LAWRENCE BRUCE IKEN - Podiatrist License in Missouri | # 016002757

LAWRENCE BRUCE IKEN

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002757

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE BRUCE

Last Name

IKEN

Business Name

LAWRENCE BRUCE IKEN

Original Issue Date

07/16/1973

Effective Date

12/31/2012

Expiration Date

01/31/2015

State

MO

Ever Disciplined

N

LastModifiedDate

03/09/2015