KATHERINE ALTA HAGMANN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005732

License Status

INACTIVE

Business

First Name

KATHERINE

Middle

ALTA

Last Name

HAGMANN

Business Name

KATHERINE ALTA HAGMANN

Original Issue Date

06/30/2016

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

MINNEAPOLIS

State

Zip

55414

Ever Disciplined

LastModifiedDate

11/08/2020