ANDREA S DIRKSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005320

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

DIRKSEN

Business Name

ANDREA S DIRKSEN

Original Issue Date

03/14/2007

Effective Date

01/25/2017

Expiration Date

01/31/2019

City

MANITOWISH WATERS

State

Zip

54545

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/28/2019