JOSEPH L GIACCHINO JR MD - Athletics Professional License in Illinois | # 002102374-0010

JOSEPH L GIACCHINO JR MD

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXING SECOND

License Number

002102374-0010

License Status

NOT RENEWED

Business

N

First Name

JOSEPH L

Last Name

GIACCHINO JR

Suffix

MD

Business Name

JOSEPH L GIACCHINO JR MD

Original Issue Date

08/20/1993

Effective Date

08/20/1993

Expiration Date

10/01/1995

State

IL

Ever Disciplined

N

LastModifiedDate

09/18/2006