JASON C ALLEN DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000539

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

ALLEN

Suffix

DPM

Business Name

JASON C ALLEN DPM

Original Issue Date

06/20/2003

Effective Date

06/20/2003

Expiration Date

06/30/2004

City

KINGMAN

State

Zip

86401

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/25/2006