TERRY A SANDERS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004821

License Status

NOT RENEWED

Business

First Name

TERRY A

Last Name

SANDERS

Business Name

TERRY A SANDERS

Original Issue Date

03/31/1997

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/17/2009