AMANDA WILLRICH HUDSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005123

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

WILLRICH

Last Name

HUDSON

Suffix

DPM

Business Name

AMANDA WILLRICH HUDSON DPM

Original Issue Date

05/01/2003

Effective Date

05/01/2003

Expiration Date

01/31/2005

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006