JOHN L BOSTANCHE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

JOHN L

Last Name

BOSTANCHE

Business Name

JOHN L BOSTANCHE

Original Issue Date

11/16/1993

Effective Date

11/11/2024

Expiration Date

01/31/2027

City

KENOSHA

State

Zip

53142

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025