CLARK ALAN BERNIE DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003999

License Status

INACTIVE

Business

First Name

CLARK ALAN

Last Name

BERNIE

Suffix

DPM

Business Name

CLARK ALAN BERNIE DPM

Original Issue Date

07/14/1986

Effective Date

07/14/1986

Expiration Date

01/31/1987

City

LITTLETON

State

Zip

80123

County

COLORADO

Ever Disciplined

LastModifiedDate

09/25/2006