JENNIFER ANN BARA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005425

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

BARA

Business Name

JENNIFER ANN BARA

Original Issue Date

08/28/2009

Effective Date

01/16/2013

Expiration Date

01/31/2015

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/09/2015