LARRY J WAPIENNIK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003151

License Status

NOT RENEWED

Business

First Name

LARRY J

Last Name

WAPIENNIK

Business Name

LARRY J WAPIENNIK

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1987

City

GLENWOOD

State

Zip

60425

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006