ANDREA L PEACH DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005323

License Status

INACTIVE

Business

Title

DPM

First Name

ANDREA

Middle

Last Name

PEACH

Business Name

ANDREA L PEACH DPM

Original Issue Date

05/01/2007

Effective Date

12/10/2012

Expiration Date

01/31/2015

City

EAST AURORA

State

Zip

14052

Ever Disciplined

LastModifiedDate

11/07/2014