MARTIN CARBONELLA - Podiatrist License in Oregon | # 016003501

MARTIN CARBONELLA

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003501

License Status

INACTIVE

Business

N

First Name

MARTIN

Last Name

CARBONELLA

Business Name

MARTIN CARBONELLA

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

01/31/1985

State

OR

Ever Disciplined

N

LastModifiedDate

09/25/2006