WAYNE V VIDETICH Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002669

License Status

INACTIVE

Business

First Name

WAYNE V

Last Name

VIDETICH

Business Name

WAYNE V VIDETICH

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

01/31/1989

City

LINCOLN

State

Zip

68502

County

NEBRASKA

Ever Disciplined

LastModifiedDate

09/25/2006