PHILIP EDWARD MUCCIO - Orthotist, Prosthetist, and Pedorthist License in Michigan | # 213000344

PHILIP EDWARD MUCCIO

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000344

License Status

NOT RENEWED

Business

N

First Name

PHILIP

Middle

EDWARD

Last Name

MUCCIO

Business Name

PHILIP EDWARD MUCCIO

Original Issue Date

05/24/2016

Effective Date

03/10/2023

Expiration Date

09/30/2023

State

MI

Ever Disciplined

N

LastModifiedDate

02/02/2024