BIRUTE Z BALCIUNAS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

BIRUTE Z

Last Name

BALCIUNAS

Business Name

BIRUTE Z BALCIUNAS

Original Issue Date

02/20/2008

Effective Date

11/20/2012

Expiration Date

01/31/2015

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015