JOHN L BOSTANCHE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004510

License Status

ACTIVE

Business

First Name

JOHN L

Last Name

BOSTANCHE

Business Name

JOHN L BOSTANCHE

Original Issue Date

03/29/1991

Effective Date

11/11/2024

Expiration Date

01/31/2027

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/26/2025