BRIAN R DVORAK Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000516

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

DVORAK

Business Name

BRIAN R DVORAK

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

06/30/2003

City

MT VERNON

State

Zip

52314

County

IOWA

Ever Disciplined

LastModifiedDate

09/25/2006