CARL E PROCTOR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002181

License Status

NOT RENEWED

Business

First Name

CARL E

Last Name

PROCTOR

Business Name

CARL E PROCTOR

Original Issue Date

07/03/1953

Effective Date

07/03/1953

Expiration Date

01/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006