TERRI A BANJAK Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004486

License Status

INACTIVE

Business

First Name

TERRI A

Last Name

BANJAK

Business Name

TERRI A BANJAK

Original Issue Date

10/06/1990

Effective Date

10/06/1990

Expiration Date

01/31/1991

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006