GOLNAR PRUDHOMME DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005468

License Status

INACTIVE

Business

First Name

GOLNAR

Last Name

PRUDHOMME

Suffix

DPM

Business Name

GOLNAR PRUDHOMME DPM

Original Issue Date

03/25/2011

Effective Date

03/25/2011

Expiration Date

01/31/2013

City

GATES MILLS

State

Zip

44040

Ever Disciplined

LastModifiedDate

11/08/2012