KURT S GUSTAVSON Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003873

License Status

INACTIVE

Business

First Name

KURT S

Last Name

GUSTAVSON

Business Name

KURT S GUSTAVSON

Original Issue Date

06/25/1985

Effective Date

06/25/1985

Expiration Date

01/31/1989

City

MINOT

State

Zip

58701

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

09/25/2006