BRIAN STUART BAKST Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002861

License Status

NOT RENEWED

Business

First Name

BRIAN STUART

Last Name

BAKST

Business Name

BRIAN STUART BAKST

Original Issue Date

10/23/1975

Effective Date

10/23/1975

Expiration Date

01/31/1985

City

ATLANTA

State

Zip

30329

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/25/2006