LORY A KEANE Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004640

License Status

INACTIVE

Business

First Name

LORY A

Last Name

KEANE

Business Name

LORY A KEANE

Original Issue Date

06/17/1992

Effective Date

06/17/1992

Expiration Date

01/31/1995

City

ST JOSEPH

State

Zip

49085

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/25/2006