RICHARD L BASIC Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002284

License Status

INACTIVE

Business

First Name

RICHARD L

Last Name

BASIC

Business Name

RICHARD L BASIC

Original Issue Date

07/18/1956

Effective Date

07/18/1956

Expiration Date

01/31/1991

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006