VINCENT JOHN STASCHIAK DPM - Podiatrist License in South Dakota | # 135000404

VINCENT JOHN STASCHIAK DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000404

License Status

EXPIRED

Business

N

Title

DPM

First Name

VINCENT

Middle

JOHN

Last Name

STASCHIAK

Business Name

VINCENT JOHN STASCHIAK DPM

Original Issue Date

04/26/1999

Effective Date

04/26/1999

Expiration Date

05/01/2000

State

SD

Ever Disciplined

N

LastModifiedDate

09/25/2006