JERWANA LASTER DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

Title

DPM

First Name

JERWANA

Last Name

LASTER

Business Name

JERWANA LASTER DPM

Original Issue Date

06/07/2021

Effective Date

12/20/2024

Expiration Date

01/31/2027

City

CARMEL

State

Zip

46280

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025