ALEXANDER SAN DIEGO JR Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005997

License Status

ACTIVE

Business

First Name

ALEXANDER

Last Name

SAN DIEGO

Suffix

Business Name

ALEXANDER SAN DIEGO JR

Original Issue Date

10/17/2022

Effective Date

01/22/2025

Expiration Date

01/31/2027

City

COCOA

State

Zip

32922

Ever Disciplined

LastModifiedDate

02/26/2025