TRACY J FIALA DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000284

License Status

EXPIRED

Business

First Name

TRACY

Middle

Last Name

FIALA

Suffix

DPM

Business Name

TRACY J FIALA DPM

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1998

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006