GREGORY W BOAKE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004160

License Status

NOT RENEWED

Business

First Name

GREGORY W

Last Name

BOAKE

Suffix

DPM

Business Name

GREGORY W BOAKE DPM

Original Issue Date

07/27/1987

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

INDIANAPOLIS

State

Zip

46240

County

INDIANA

Ever Disciplined

LastModifiedDate

03/17/2009