KENNETH E LANE JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002221

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

LANE JR

Business Name

KENNETH E LANE JR

Original Issue Date

07/30/1954

Effective Date

07/30/1954

Expiration Date

01/31/1997

City

ELDON

State

Zip

65026

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/25/2006