KENNETH G AMMONS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003680

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

AMMONS

Suffix

DPM

Business Name

KENNETH G AMMONS DPM

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

01/31/2005

City

SAINT PAUL

State

Zip

55122

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/09/2006