KIRSTEN SUE PAULSRUD DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

Title

DPM

First Name

KIRSTEN

Middle

SUE

Last Name

PAULSRUD

Business Name

KIRSTEN SUE PAULSRUD DPM

Original Issue Date

10/04/2011

Effective Date

10/04/2011

Expiration Date

01/31/2013

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013