ANDREW MICHAEL GANSHIRT DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DPM

First Name

ANDREW

Middle

MICHAEL

Last Name

GANSHIRT

Business Name

ANDREW MICHAEL GANSHIRT DPM

Original Issue Date

02/22/2023

Effective Date

01/16/2025

Expiration Date

01/31/2027

City

BETTENDORF

State

Zip

52722

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2025