DAVID JON PATENAUDE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004691

License Status

NOT RENEWED

Business

First Name

DAVID JON

Last Name

PATENAUDE

Business Name

DAVID JON PATENAUDE

Original Issue Date

12/01/1993

Effective Date

12/01/1993

Expiration Date

01/31/1997

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/25/2006