ALICIA MARTIN LANZITO DPM - Podiatrist License in Wisconsin | # 135000632

ALICIA MARTIN LANZITO DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000632

License Status

EXPIRED

Business

N

First Name

ALICIA

Middle

MARTIN

Last Name

LANZITO

Suffix

DPM

Business Name

ALICIA MARTIN LANZITO DPM

Original Issue Date

06/26/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

State

WI

Ever Disciplined

N

LastModifiedDate

07/01/2009