TRACY J FIALA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004874

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

FIALA

Suffix

DPM

Business Name

TRACY J FIALA DPM

Original Issue Date

06/25/1998

Effective Date

06/25/1998

Expiration Date

01/31/2003

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006