LEE A KLAUK Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002505

License Status

INACTIVE

Business

First Name

LEE A

Last Name

KLAUK

Business Name

LEE A KLAUK

Original Issue Date

06/30/1966

Effective Date

06/30/1966

Expiration Date

01/31/1985

City

APPLETON

State

Zip

54911

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006