THOMAS R BRANT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002497

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

BRANT

Business Name

THOMAS R BRANT

Original Issue Date

06/30/1966

Effective Date

06/30/1966

City

JEFFERSON CITY

State

Zip

65101

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/25/2006