KATRINA E BOSTANCHE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001271

License Status

ACTIVE

Business

Title

DPM

First Name

KATRINA

Middle

Last Name

BOSTANCHE

Business Name

KATRINA E BOSTANCHE DPM

Original Issue Date

06/16/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/16/2025