LYNN M DENNIS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000290

License Status

EXPIRED

Business

First Name

LYNN

Middle

Last Name

DENNIS

Suffix

DPM

Business Name

LYNN M DENNIS DPM

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

06/30/1997

City

LINOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

09/25/2006