BRUCE W KRELL DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004108

License Status

INACTIVE

Business

First Name

BRUCE W

Last Name

KRELL

Suffix

DPM

Business Name

BRUCE W KRELL DPM

Original Issue Date

06/22/1987

Effective Date

06/22/1987

Expiration Date

01/31/1995

City

PHOENIX

State

Zip

85044

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/25/2006