DOROTHY E BLANK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004517

License Status

NOT RENEWED

Business

First Name

DOROTHY E

Last Name

BLANK

Business Name

DOROTHY E BLANK

Original Issue Date

05/22/1991

Effective Date

01/12/2015

Expiration Date

01/31/2017

City

LOXAHATCHEE

State

Zip

33470

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/27/2017