ANTHONY POLOM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002132

License Status

INACTIVE

Business

First Name

ANTHONY

Last Name

POLOM

Business Name

ANTHONY POLOM

Original Issue Date

07/17/1952

Effective Date

07/17/1952

Expiration Date

01/31/1989

City

WILBRAHAM

State

Zip

01095

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/25/2006