KEITH A BECK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005430

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

BECK

Suffix

DPM

Business Name

KEITH A BECK DPM

Original Issue Date

10/13/2009

Effective Date

11/23/2010

Expiration Date

01/31/2013

City

WAUKESHA

State

Zip

53189

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/20/2013