VINCENT JOHN STASCHIAK DPM - Podiatrist License in South Dakota | # 016005252

VINCENT JOHN STASCHIAK DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005252

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

VINCENT

Middle

JOHN

Last Name

STASCHIAK

Business Name

VINCENT JOHN STASCHIAK DPM

Original Issue Date

07/22/2005

Effective Date

01/31/2005

Expiration Date

01/31/2007

State

SD

Ever Disciplined

N

LastModifiedDate

05/10/2007