GLEN JOHN NISIVOCCIA DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038004843

License Status

ACTIVE

Business

First Name

GLEN JOHN

Last Name

NISIVOCCIA

Suffix

Business Name

GLEN JOHN NISIVOCCIA DC

Original Issue Date

07/22/1983

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

07/22/2023