KURT LARSON GLESNE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

KURT

Middle

LARSON

Last Name

GLESNE

Business Name

KURT LARSON GLESNE

Original Issue Date

08/03/2012

Effective Date

12/12/2024

Expiration Date

01/31/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025