NEIL S SANDBERG Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002534

License Status

NOT RENEWED

Business

First Name

NEIL S

Last Name

SANDBERG

Business Name

NEIL S SANDBERG

Original Issue Date

07/31/1967

Effective Date

07/31/1967

City

ST. LOUIS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/25/2006