PAUL ROBERT FISCELLA - Podiatrist License in Illinois | # 016003269

PAUL ROBERT FISCELLA

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003269

License Status

NOT RENEWED

Business

N

First Name

PAUL ROBERT

Last Name

FISCELLA

Business Name

PAUL ROBERT FISCELLA

Original Issue Date

06/02/1981

Effective Date

06/02/1981

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006