STEVEN THOMAS BRANTINGHAM DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005807

License Status

NOT RENEWED

Business

Title

DPM

First Name

STEVEN

Middle

THOMAS

Last Name

BRANTINGHAM

Business Name

STEVEN THOMAS BRANTINGHAM DPM

Original Issue Date

09/21/2018

Effective Date

12/27/2018

Expiration Date

01/31/2021

City

DIXON

State

Zip

61021

Ever Disciplined

LastModifiedDate

03/11/2021