GREGORY W BOAKE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

GREGORY W

Last Name

BOAKE

Suffix

DPM

Business Name

GREGORY W BOAKE DPM

Original Issue Date

08/06/1987

Effective Date

08/06/1987

Expiration Date

01/31/1993

City

WILLIAMS BAY

State

Zip

53191

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006