EDWARD G ANDERSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004470

License Status

NOT RENEWED

Business

First Name

EDWARD G

Last Name

ANDERSON

Suffix

DPM

Business Name

EDWARD G ANDERSON DPM

Original Issue Date

08/28/1991

Effective Date

08/28/1991

Expiration Date

01/31/1997

City

HENDERSON

State

Zip

42420

County

HENDERSON

Ever Disciplined

LastModifiedDate

09/25/2006