KATHRYN TERESA COMSTOCK Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

KATHRYN

Middle

TERESA

Last Name

COMSTOCK

Business Name

KATHRYN TERESA COMSTOCK

Original Issue Date

07/17/2012

Effective Date

01/15/2025

Expiration Date

01/31/2027

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025