BIRUTE Z BALCIUNAS Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004620

License Status

INACTIVE

Business

First Name

BIRUTE Z

Last Name

BALCIUNAS

Business Name

BIRUTE Z BALCIUNAS

Original Issue Date

05/27/1992

Effective Date

01/27/2015

Expiration Date

01/31/2017

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/10/2016