GLENN JUN SHINTAKU Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003201

License Status

INACTIVE

Business

First Name

GLENN JUN

Last Name

SHINTAKU

Business Name

GLENN JUN SHINTAKU

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1987

City

LAWNDALE

State

Zip

90260

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/25/2006