JOSEPH L GIACCHINO JR MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002102374-0010

License Status

NOT RENEWED

Business

First Name

JOSEPH L

Last Name

GIACCHINO JR

Suffix

Business Name

JOSEPH L GIACCHINO JR MD

Original Issue Date

08/20/1993

Effective Date

08/20/1993

Expiration Date

10/01/1995

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2006