TIMOTHY M AXE Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004466

License Status

INACTIVE

Business

First Name

TIMOTHY M

Last Name

AXE

Business Name

TIMOTHY M AXE

Original Issue Date

07/03/1990

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/21/2006