ROY HERMAN LIDTKE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004815

License Status

ACTIVE

Business

First Name

ROY

Middle

HERMAN

Last Name

LIDTKE

Suffix

DPM DPM

Business Name

ROY HERMAN LIDTKE

Original Issue Date

03/11/1997

Effective Date

02/10/2025

Expiration Date

01/31/2027

City

ELBERON

State

Zip

52225

County

IOWA

Ever Disciplined

LastModifiedDate

02/26/2025