LESLIE H ANDERSON JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002427

License Status

NOT RENEWED

Business

First Name

LESLIE H

Last Name

ANDERSON JR

Business Name

LESLIE H ANDERSON JR

Original Issue Date

09/12/1961

Effective Date

09/12/1961

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/25/2006