KELLY R LAWLER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005246

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LAWLER

Business Name

KELLY R LAWLER

Original Issue Date

07/19/2005

Effective Date

01/24/2013

Expiration Date

01/31/2015

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/09/2015