KENNETH WELLS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004016

License Status

NOT RENEWED

Business

First Name

KENNETH

Last Name

WELLS

Suffix

DPM

Business Name

KENNETH WELLS DPM

Original Issue Date

07/15/1986

Effective Date

01/06/2009

Expiration Date

01/31/2011

City

SAN DIEGO

State

Zip

92114

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/10/2011