KRISTIN RUTH COSUE TOLIVER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

KRISTIN RUTH

Middle

COSUE

Last Name

TOLIVER

Business Name

KRISTIN RUTH COSUE TOLIVER

Original Issue Date

11/18/2014

Effective Date

11/18/2014

Expiration Date

01/31/2017

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017