AUDRA MARIE SMITH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005415

License Status

NOT RENEWED

Business

Title

DPM

First Name

AUDRA

Middle

MARIE

Last Name

SMITH

Business Name

AUDRA MARIE SMITH DPM

Original Issue Date

07/14/2009

Effective Date

11/23/2010

Expiration Date

01/31/2013

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

03/20/2013