GARY A GREEN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003909

License Status

INACTIVE

Business

First Name

GARY A

Last Name

GREEN

Business Name

GARY A GREEN

Original Issue Date

08/06/1985

Effective Date

08/06/1985

Expiration Date

01/31/1987

City

ANOKA

State

Zip

55303

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/25/2006