EDNA WARREN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016000077

License Status

NOT RENEWED

Business

First Name

EDNA

Last Name

WARREN

Business Name

EDNA WARREN

Original Issue Date

01/01/1998

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/25/2006