CHRISTINE C KANCIUS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

Last Name

KANCIUS

Suffix

DPM

Business Name

CHRISTINE C KANCIUS DPM

Original Issue Date

07/08/1981

Effective Date

01/08/2025

Expiration Date

01/31/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2025