ALAN JAY TISHK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002852

License Status

NOT RENEWED

Business

First Name

ALAN JAY

Last Name

TISHK

Business Name

ALAN JAY TISHK

Original Issue Date

07/11/1975

Effective Date

07/11/1975

City

BLUE SPRINGS

State

Zip

64015

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/25/2006