BRYCE ANDREW PASCHOLD DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

Title

DPM

First Name

BRYCE

Middle

ANDREW

Last Name

PASCHOLD

Business Name

BRYCE ANDREW PASCHOLD DPM

Original Issue Date

07/07/2014

Effective Date

11/14/2016

Expiration Date

01/31/2019

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/28/2019