THOMAS N CZARNECKI JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

THOMAS N

Last Name

CZARNECKI JR

Business Name

THOMAS N CZARNECKI JR

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

01/31/1989

City

MEQUON

State

Zip

53092

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006