JEANNA M FASCIONE DPM - Podiatrist License in Ohio | # 31*****34

JEANNA M FASCIONE DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

JEANNA

Middle

M

Last Name

FASCIONE

Business Name

JEANNA M FASCIONE DPM

Original Issue Date

07/05/2011

Effective Date

01/15/2019

Expiration Date

01/31/2021

State

OH

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

03/11/2021