NICOLETTE J PRUSS Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000115

License Status

EXPIRED

Business

First Name

NICOLETTE J

Last Name

PRUSS

Business Name

NICOLETTE J PRUSS

Original Issue Date

07/23/1988

Effective Date

07/23/1988

Expiration Date

07/20/1989

City

NAPA

State

Zip

94558

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/25/2006