STEPHEN JEFFERS DALE Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002974

License Status

INACTIVE

Business

First Name

STEPHEN JEFFERS

Last Name

DALE

Business Name

STEPHEN JEFFERS DALE

Original Issue Date

11/30/1977

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

JOHNSON CITY

State

Zip

37604

County

WASHINGTON

Ever Disciplined

LastModifiedDate

01/12/2007