JIM P LICANDRO - Podiatrist License in Iowa | # 135000358

JIM P LICANDRO

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000358

License Status

EXPIRED

Business

N

First Name

JIM

Middle

P

Last Name

LICANDRO

Business Name

JIM P LICANDRO

Original Issue Date

07/17/1997

Effective Date

07/17/1997

Expiration Date

06/30/1998

State

IA

Ever Disciplined

N

LastModifiedDate

09/13/2007