MARTIN CARBONELLA Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003501

License Status

INACTIVE

Business

First Name

MARTIN

Last Name

CARBONELLA

Business Name

MARTIN CARBONELLA

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

01/31/1985

City

BEAVERTON

State

Zip

97005

County

OREGON

Ever Disciplined

LastModifiedDate

09/25/2006