JERALD SOMDAHL DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004135

License Status

INACTIVE

Business

First Name

JERALD

Last Name

SOMDAHL

Suffix

DPM

Business Name

JERALD SOMDAHL DPM

Original Issue Date

07/13/1987

Effective Date

07/13/1987

Expiration Date

01/31/1989

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006