DERICK A BALL Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003700

License Status

NOT RENEWED

Business

First Name

DERICK A

Last Name

BALL

Business Name

DERICK A BALL

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

01/31/1987

City

WEST COVINA

State

Zip

91790

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/25/2006