JAKE S VACARELLA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091399

License Status

INACTIVE

Business

First Name

JAKE S

Last Name

VACARELLA

Business Name

JAKE S VACARELLA

Original Issue Date

07/25/1995

Effective Date

07/25/1995

Expiration Date

07/31/2002

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/24/2009