MARCUS A STIERWALT Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****01

License Status

CANCELLED

Business

First Name

MARCUS A

Last Name

STIERWALT

Business Name

MARCUS A STIERWALT

Original Issue Date

01/01/1998

Expiration Date

01/31/2005

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006