KATHRYN CLARK DECKER DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005525

License Status

NOT RENEWED

Business

Title

DPM

First Name

KATHRYN

Middle

CLARK

Last Name

DECKER

Business Name

KATHRYN CLARK DECKER DPM

Original Issue Date

06/25/2012

Effective Date

11/20/2012

Expiration Date

01/31/2015

City

NEW ALBANY

State

Zip

43054

County

OHIO

Ever Disciplined

LastModifiedDate

03/09/2015