NICOLETTE J PRUSS Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004272

License Status

INACTIVE

Business

First Name

NICOLETTE J

Last Name

PRUSS

Business Name

NICOLETTE J PRUSS

Original Issue Date

08/26/1988

Effective Date

08/26/1988

Expiration Date

01/31/1997

City

NAPA

State

Zip

94558

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/25/2006