JEFFREY S BOBERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004233

License Status

NOT RENEWED

Business

First Name

JEFFREY S

Last Name

BOBERG

Suffix

DPM

Business Name

JEFFREY S BOBERG DPM

Original Issue Date

06/04/1988

Effective Date

12/05/2012

Expiration Date

01/31/2015

City

BRIDGETON

State

Zip

63044

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/09/2015