GWENDOLYN ANDERSON DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004194

License Status

INACTIVE

Business

First Name

GWENDOLYN

Last Name

ANDERSON

Suffix

DPM

Business Name

GWENDOLYN ANDERSON DPM

Original Issue Date

10/24/1987

Effective Date

10/24/1987

Expiration Date

01/31/1989

City

PHILADELPHIA

State

Zip

19139

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/25/2006