ROGER MICHAEL LAVRIN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002888

License Status

NOT RENEWED

Business

First Name

ROGER MICHAEL

Last Name

LAVRIN

Business Name

ROGER MICHAEL LAVRIN

Original Issue Date

06/24/1976

Effective Date

06/24/1976

Expiration Date

07/01/1982

City

GALLATIN

State

Zip

37066

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/25/2006