VERNON R PEDERSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001987

License Status

NOT RENEWED

Business

First Name

VERNON R

Last Name

PEDERSEN

Business Name

VERNON R PEDERSEN

Original Issue Date

03/02/1950

Effective Date

03/02/1950

Expiration Date

07/01/1982

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006