MARCUS A STIERWALT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002584

License Status

NOT RENEWED

Business

First Name

MARCUS A

Last Name

STIERWALT

Business Name

MARCUS A STIERWALT

Original Issue Date

08/04/1969

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

03/16/2007