STAFFORD C CARR JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002470

License Status

NOT RENEWED

Business

First Name

STAFFORD C

Last Name

CARR JR

Business Name

STAFFORD C CARR JR

Original Issue Date

07/23/1964

Effective Date

07/23/1964

Expiration Date

01/31/2005

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/09/2006