CARLY LUCILLE KRIEDBERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005697

License Status

NOT RENEWED

Business

Title

DPM

First Name

CARLY

Middle

LUCILLE

Last Name

KRIEDBERG

Business Name

CARLY LUCILLE KRIEDBERG DPM

Original Issue Date

03/07/2016

Effective Date

01/05/2017

Expiration Date

01/31/2019

City

NORMAL

State

Zip

61761

County

MINNESOTA

Ever Disciplined

LastModifiedDate

03/28/2019