TYLER K SORENSEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005922

License Status

NOT RENEWED

Business

Title

DPM

First Name

TYLER

Middle

Last Name

SORENSEN

Business Name

TYLER K SORENSEN DPM

Original Issue Date

02/25/2021

Effective Date

02/25/2021

Expiration Date

01/31/2023

City

WOODBURY

State

Zip

55129

County

MINNESOTA

Ever Disciplined

LastModifiedDate

03/31/2023