BRANDON A MACY Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003135

License Status

INACTIVE

Business

First Name

BRANDON A

Last Name

MACY

Business Name

BRANDON A MACY

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1985

City

CLARK

State

Zip

07066

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/25/2006