BIRUTE Z BALCIUNAS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

BIRUTE Z

Last Name

BALCIUNAS

Business Name

BIRUTE Z BALCIUNAS

Original Issue Date

12/13/1993

Effective Date

12/13/1993

Expiration Date

01/31/1997

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006