IKE B DPM GORMAN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003941

License Status

INACTIVE

Business

First Name

IKE B DPM

Last Name

GORMAN

Business Name

IKE B DPM GORMAN

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

01/31/1989

City

TUCSON

State

Zip

85713

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/25/2006