MAX R REXROAT Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002507

License Status

INACTIVE

Business

First Name

MAX R

Last Name

REXROAT

Business Name

MAX R REXROAT

Original Issue Date

06/30/1966

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

11/14/2008