TALIA ANTIONETTE HYDE Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005056

License Status

INACTIVE

Business

First Name

TALIA

Middle

ANTIONETTE

Last Name

HYDE

Business Name

TALIA ANTIONETTE HYDE

Original Issue Date

10/30/2001

Effective Date

10/30/2001

Expiration Date

01/31/2003

City

ALORTON

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006