NATASHA MANDULA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005550

License Status

NOT RENEWED

Business

First Name

NATASHA

Last Name

MANDULA

Suffix

DPM

Business Name

NATASHA MANDULA DPM

Original Issue Date

02/28/2013

Effective Date

02/28/2013

Expiration Date

01/31/2015

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

03/09/2015