MARION WAGENAAR DPM - Podiatrist License in Washington | # 016003415

MARION WAGENAAR DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003415

License Status

NOT RENEWED

Business

N

First Name

MARION

Last Name

WAGENAAR

Suffix

DPM

Business Name

MARION WAGENAAR DPM

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

01/31/1987

State

WA

Ever Disciplined

N

LastModifiedDate

09/25/2006