STANLEY JOHN ZAWADA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003799

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

JOHN

Last Name

ZAWADA

Business Name

STANLEY JOHN ZAWADA

Original Issue Date

06/11/1985

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

WHITESTONE

State

Zip

11357

Ever Disciplined

LastModifiedDate

03/17/2009