EDWARD P VANBEEK - Podiatrist License in Wisconsin | # 31*****20

EDWARD P VANBEEK

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

N

First Name

EDWARD P

Last Name

VANBEEK

Business Name

EDWARD P VANBEEK

Original Issue Date

06/18/1985

Effective Date

06/18/1985

Expiration Date

01/31/1987

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/25/2006