DAVID ALLEN HIRSTIUS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLEN

Last Name

HIRSTIUS

Suffix

Business Name

DAVID ALLEN HIRSTIUS DO

Original Issue Date

01/06/2005

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

FOWLER

State

Zip

62338

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023