LAWRENCE BRUCE IKEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002757

License Status

NOT RENEWED

Business

First Name

LAWRENCE BRUCE

Last Name

IKEN

Business Name

LAWRENCE BRUCE IKEN

Original Issue Date

07/16/1973

Effective Date

12/31/2012

Expiration Date

01/31/2015

City

MANCHESTER

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/09/2015