KATIE R LANDRY DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000993

License Status

CANCELLED

Business

Title

DPM

First Name

KATIE

Middle

Last Name

LANDRY

Business Name

KATIE R LANDRY DPM

Original Issue Date

06/06/2018

Effective Date

06/15/2018

Expiration Date

06/15/2021

City

RACINE

State

Zip

53402

Ever Disciplined

LastModifiedDate

06/04/2018