ERIC GERARD MASSA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004957

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

GERARD

Last Name

MASSA

Suffix

DPM

Business Name

ERIC GERARD MASSA DPM

Original Issue Date

04/18/2000

Effective Date

04/18/2000

Expiration Date

01/31/2003

City

POWELL

State

Zip

43065

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006