BRIANT G MOYLES Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002841

License Status

NOT RENEWED

Business

First Name

BRIANT G

Last Name

MOYLES

Business Name

BRIANT G MOYLES

Original Issue Date

07/11/1975

Effective Date

07/11/1975

City

WEST ALLIS

State

Zip

53227

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006