GREG J AMELUNG Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005089

License Status

NOT RENEWED

Business

First Name

GREG

Middle

Last Name

AMELUNG

Business Name

GREG J AMELUNG

Original Issue Date

07/22/2002

Effective Date

07/22/2002

Expiration Date

01/31/2005

City

FORT WORTH

State

Zip

76102

Ever Disciplined

LastModifiedDate

10/09/2006