EDWARD JAY BLOCK Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003338

License Status

INACTIVE

Business

First Name

EDWARD JAY

Last Name

BLOCK

Business Name

EDWARD JAY BLOCK

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

01/31/1985

City

DREXEL HILL

State

Zip

19026

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/25/2006