TIMOTHY M AXE - Podiatrist License in Wisconsin | # 016004466

TIMOTHY M AXE

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004466

License Status

INACTIVE

Business

N

First Name

TIMOTHY M

Last Name

AXE

Business Name

TIMOTHY M AXE

Original Issue Date

07/03/1990

Effective Date

01/31/2005

Expiration Date

01/31/2007

State

WI

Ever Disciplined

N

LastModifiedDate

11/21/2006