THOMAS J KIRISITS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

KIRISITS

Suffix

DPM

Business Name

THOMAS J KIRISITS DPM

Original Issue Date

01/13/1995

Effective Date

12/03/2020

Expiration Date

01/31/2023

City

SAINT ANN

State

Zip

63074

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023