SAMUEL HAUSBACH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003820

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

HAUSBACH

Suffix

DPM

Business Name

SAMUEL HAUSBACH DPM

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

01/31/1987

City

HUNTINGTON

State

Zip

25705

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

09/25/2006