BRIENNA M BOSTANCHE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001206

License Status

ACTIVE

Business

Title

DPM

First Name

BRIENNA

Middle

Last Name

BOSTANCHE

Business Name

BRIENNA M BOSTANCHE DPM

Original Issue Date

06/29/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

02/24/2026