ROY R HENDERSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004059

License Status

NOT RENEWED

Business

First Name

ROY R

Last Name

HENDERSON

Suffix

DPM

Business Name

ROY R HENDERSON DPM

Original Issue Date

01/06/1987

Effective Date

01/06/1987

Expiration Date

01/31/1989

City

SHAWNEE

State

Zip

66606

County

KANSAS

Ever Disciplined

LastModifiedDate

09/25/2006