CARROLL R BETHEA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003802

License Status

NOT RENEWED

Business

First Name

CARROLL R

Last Name

BETHEA

Business Name

CARROLL R BETHEA

Original Issue Date

06/11/1985

Effective Date

06/11/1985

Expiration Date

01/31/1987

City

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006