RANDOLPH V ANDERSON Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004268

License Status

INACTIVE

Business

First Name

RANDOLPH V

Last Name

ANDERSON

Business Name

RANDOLPH V ANDERSON

Original Issue Date

08/26/1988

Effective Date

08/26/1988

Expiration Date

01/31/1991

City

FORT LEONARD WOOD

State

Zip

65473

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/25/2006