MARION WAGENAAR DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003415

License Status

NOT RENEWED

Business

First Name

MARION

Last Name

WAGENAAR

Suffix

DPM

Business Name

MARION WAGENAAR DPM

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

01/31/1987

City

EVERETT

State

Zip

98201

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/25/2006