STEPHEN P MORAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001064

License Status

NOT RENEWED

Business

First Name

STEPHEN P

Last Name

MORAN

Business Name

STEPHEN P MORAN

Original Issue Date

07/14/1930

Effective Date

07/14/1930

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006