TIMOTHY CRAIG WIRT Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000928

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

CRAIG

Last Name

WIRT

Business Name

TIMOTHY CRAIG WIRT

Original Issue Date

06/22/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

GENEVA

State

Zip

60134

Ever Disciplined

LastModifiedDate

06/09/2016