PETER H GOLDBAUM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002645

License Status

NOT RENEWED

Business

First Name

PETER H

Last Name

GOLDBAUM

Business Name

PETER H GOLDBAUM

Original Issue Date

07/08/1971

Effective Date

07/08/1971

City

CLOVIS

State

Zip

88101

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/25/2006