CLARENCE EDWIN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001868

License Status

INACTIVE

Business

First Name

CLARENCE

Last Name

EDWIN

Business Name

CLARENCE EDWIN

Original Issue Date

07/03/1947

Effective Date

07/03/1947

Expiration Date

01/31/1985

City

ATHENS

State

Zip

75751

County

TEXAS

Ever Disciplined

LastModifiedDate

09/25/2006