WING SUE M SHIU DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003648

License Status

NOT RENEWED

Business

First Name

WING

Middle

SUE M

Last Name

SHIU

Suffix

DPM

Business Name

WING SUE M SHIU DPM

Original Issue Date

12/20/1983

Effective Date

11/23/2016

Expiration Date

01/31/2019

City

FORT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

03/28/2019