DAVID ALLEN HIRSTIUS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112783

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLEN

Last Name

HIRSTIUS

Suffix

Business Name

DAVID ALLEN HIRSTIUS DO

Original Issue Date

12/17/2004

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

FOWLER

State

Zip

62338

County

ADAMS

Ever Disciplined

LastModifiedDate

11/30/2023