SCOTT NATHAN KEITH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002946

License Status

NOT RENEWED

Business

First Name

SCOTT NATHAN

Last Name

KEITH

Business Name

SCOTT NATHAN KEITH

Original Issue Date

08/03/1977

Effective Date

11/13/2012

Expiration Date

01/31/2015

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

03/09/2015